Culture and the X-Ray Spirituality 70 Male Religion Christianity and the X-RayAshley Davidoff TheCommonVein.net Body and SoulChristian Cross in hope and prayer during a time of illnessAshley Davidoff MD The CommonVein.net lungs-0709 Smoking What You Promised What I GotCollage of cigarette advertisements of the early 20th century revealing a portrayal of elegance, feminism, and manhood. The advertising campaigns worked well for the cigarette companies but had a dismal result on health. The third image from the left in the top row shows a physician who states that “Luckies are less irritating”. 20-30 years later – some of the people who were influenced by the subconscious promise of elegance ended with the dismal inescapable existence of misery and pain as the consequences of emphysema and cancer wreaked havoc on their bodies. The habit persists and the problem continues to exist.Keywords lung advertisement cigarettes subconscious effect fashions consequence lung carcinoma cancer emaciation COPD emphysema collage created from historic cigarette adverts and CTscan of a patient with lung cancerAshley Davidoff TheCommonVein.net 54458 78088c10.8s Empty PromisesCollage of cigarette advertisements of the early 20th century revealing a portrayal of elegance, feminism, and manhood. The advertising campaigns worked well for the cigarette companies but had a dismal result on health. The third image from the left in the top row shows a physician who states that “Luckies are less irritating”The world war brought free cigarettes to the soldiers from the tobacco companies. The effect on the soldiers and the culture was a devastating rise in carcinoma 20 years after the event, with peaks in the incidence of carcinoma in the 1940’s and then in the 1960’s.54458 code historicalAshley Davidoff MDThe CommonVein.net The world war brought free cigarettes to the soldiers from the tobacco companies. The effect on the soldiers and the culture was a devastating rise in carcinoma 20 years after the event, with peaks in the incidence of carcinoma in the 1940’s and then in the 1960’s.54457 code historical An Advert in Toronto Newspaper 1977Cigars are not as carcinogenic as cigarettes probably due to the fact that cigar smoke is not usually inhaled. In the early 1900’s cigar smoking was associated with elegance and currently portrays a sense of bravado as demonstrated in this image.Courtesy Ashley Davidoff MD 13021gTheCommonVein.net Smoking in Two Puff HarmonyFrom the series “People of Israel”Ashley Davidoff MDTheCommonVein.net Generation Gap Enjoying a Cigarette TogetherFrom the series “People of Israel”Ashley Davidoff MDTheCommonVein.net Smog in the AlveolusThese diseases are all about cigarettes and the garbage that they deposit in our lungs.Courtesy Ashley Davidoff MD. 32646d The CommonVein.net Normal Acinus and EmphysemaImage on the left shows normal size and appearance of terminal bronchioles and alveoli. On the right the image shows the effects on the respiratory bronchioles and when severe, on the alveoli as wellAshley Davidoff MDTheCommonVein.net Normal and EmphysemaNovember is COPD Awareness MonthAshley Davidoff MD TheCommonVeein.net Evolution of a Cancer from the EpitheliumThis is a collage showing the evolution of a malignant cell (1) into a nodule restricted to the epithelium (2) which with time penetrates the basement membrane and progressively extends into the submucosa and muscularis (3). Subsequent extension into local lymph nodes and blood vessels occurs (4) as well as growth into the lumen. As it grows circumferentially, narrowing and eventually obstruction of the lumen complicates the process (5) Space in tubular systems is limited and malignant growth has no respect for this space nor for boundaries. By definition malignant disease is space occupying.Ashley DavidoffTheCommonVein.net32336c The Story of Lung CancerThis is the story of lung cancer, (left top) from the tobacco leaves of Virginia, to the cigarette, a nicotine filled alveolus, repeated contact with epithelium, and malignant proliferation with compromise of the lumen. People of all types affected by the curse of smoke. The histology may be of the non small cell or the small cell type, but in either case malignant and space occupying. A cough is common with the clinical presentation and a mass frequent on CT. Biopsy follows with staging by PET scan, multidisciplinary conference, and therapeutic choices – surgery, radiation and or chemotherapy. Mortality is usually inevitable with this devastating disease, but there is always hope for a cure in early stages.Ashley Davidoff TheCommonVein.net 10296ckeywords lung pulmonary disease introduction collage people grosspathology smoking The Story of Lung CancerThis is the story of lung cancer, (left top) from the tobacco leaves of Virginia, to the cigarette, a nicotine filled alveolus, repeated contact with epithelium, and malignant proliferation with compromise of the lumen. People of all types affected by the curse of smoke. The histology may be of the non small cell or the small cell type, but in either case malignant and space occupying. A cough is common with the clinical presentation and a mass frequent on CT. Biopsy follows with staging by PET scan, multidisciplinary conference, and therapeutic choices – surgery, radiation and or chemotherapy. Mortality is usually inevitable with this devastating disease, but there is always hope for a cure in early stages.Ashley DavidoffTheCommonVein.net10296cckeywords lung pulmonary disease introduction collage people grosspathology smoking Therapeutic ApproachesThis is a collage of the usual treatments available for lung cancer. Top left depicts the XRT option while the Caravaggio of the sacrifice of Isaac is the surgical option and bottom right the chemotherapeutic option. (apoteek = pharmacy) Courtesy Ashley Davidoff MD. TheCommonVein.net 31432c The Cause and the Effect in one ImageThe CT scan through the chest of an 80 year old male shows a large lung mass in the posterior aspect of the right upper lobe (overlaid in green) and3 small nodules in the left upper lobe (overlaid in green). The patient is obviously a smoker and the incriminating pack of cigarettes is identified in his right shirt pocket containing 9 cigarettes. The lung cancer was shown to be an adenocarcinoma The pathology of the nodules may either represent metastatic disease or multicentric foci of bronchioloalveolar cell carcinoma. Associated finding of a thinned anterior junction line suggests hyperinflation and emphysema, and the thickened bronchial walls noted in the right lung suggest chronic bronchitis. Saber shaped trachea is also reminiscent of emphysema. The patient is emaciated, a finding that relates both to his chronic lung disease and his cancer.Ashley Davidoff MD 87831c01b.8sTheCommonVein.net Metastatic Lung CancerThe CTscan is from a middle-aged male with lung carcinoma in the left upper lobe (b in green) characterized by spiculated border (c) extending to the pleura, and an ipsilateral A-P window node (overlaid in green in d) and associated with profound emaciation. code lung cancer malignant mass spiculated A-P window node aortopulmonary node emaciation CTscan 3D volume renderingAshley Davidoff TheCommonVein.net 78088c038.8s Kick the Habit in the ButtAshley Davidoff MDTheCommonvein.net Links and References Maps of Art and Culture Lungs