CHAT Traveller Medicine, a proposed timeline (again :-))

By CMD ENS ERIC M. SERGIENKO ·

TML message #5107From bundle 435

 Hi ho,

 I originally developed this for "traveller done right".  It's a
 reasonable foundation for a discussion of how medicine will evolve
 along the established Traveller TL lines.  It certainly doesn't
 have any official sanction from GDW, on the other hand, IMO,
 it is the most reasoned application of what we know and what
 we can expect.

 for those of you who have this all ready, have an extra copy.

TL  Theory             Diagnostics                Treatment
0   Gods,              none- no                    Binding of wounds,
    Unbalanced         basis for assess-           simple (unproven)
    humors             ment of patient             herbal remedies

1   Some simple        History taking,             Trephination,
    understanding      Some physical               Proven (through
    anatomy, but not   assessment without          empirical use)
    of function        standards                   herbalism, leeching,
                                                   Battlefield surgery

2   Detailed macro-    Physical assess-            Improved surgery,
    scopic anatomy     ment, assessment of         some pharmaceuticals,
    Physiology arises  body fluids, e.g.           e.g.digitalis from
    as a science       urine                       foxglove, leeching,
                                                   preventative medicine
                                                   based on empirisism

3  Microscopic         Stethoscope allows          Early vaccination,
   anatomy,            listening to organs         cataloging of pharma-
   Crude physiology                                copoeia
   describes function
   of major organs,
   Epidemiology

4  Cell theory,        Heart arrhythmias,          Anesthesia, antisepsis,
   Germ theory,        lung sounds defined         public sanitation,
   Blood typing                                    Volume replacement
                                                   using blood products

5  Increased under-     X-ray, early EKGs,         Mass vaccinations,
   standing of          Blood work,                Pharmacology based
   physiology at                                   organ system response,
   organ level,                                    crystalloid volume
   biochemistry                                    expanders

6  Viral process        EKGs,Viral and             Primitive Prostheses,
   deduced, cellular    Bacterial labwork,         Open heart surgery,
   biology, DNA
   helix described

7  Electron micro-      Portable EKG,              External defib,
   scopy, organelle     CAT scan, gas              Cardiac Bypass
   functions            chromatography             "Heart-Lung" machine

8  Retroviruses         MRI and PET scans,         Clot busting drugs,
   described,           Ultrasound imaging,        Antipsychotics,
   Genomes mapped,      Lab tests made             Laser in surgery,
                        easy by tracers            Blood subsitutes

9  Cellular and         Chemical tracing,          Cryogenic suspension,
   Organism aging       Dynamic spatial            Limb protheses,
   understood           image construction         Gene therapy,
                        Diagnosis expert           Artificial organs
                        systems                       (e.g. heart, lung)

10 Neurophysiology      "Feinberg Machine"-        Antiviral vaccinations,
   truly understood,    portable 3Dimaging,        Artificial and enhanced
   Cellular re-         portable expert            vision,
   generation and       systems                    Targeted tumor meds,
   mutation control                                Growth enhancing drugs

11 Comprehensive        combined, portable,        major neural refusion
   understanding of     imaging, ekg, and          for spinal lesions,
   comparative          vital signs monitor        primitive nanocytes
   homoxenobiology                                 limb regeneration

12 Submolecular         monitor combined           enhanced healing
   physiology           with portable              through magnetic field
                        system                     and drug therapy,
                                                   smart antitoxin,
                                                   cloning of body parts

13                      nanocyte imaging,         enhanced smart cells,
                        monitor/expert            partial brain
                        system truly              reconstruction
                        portable                  possible

14                      gene tracers              in vivo controlled
                                                  mutation,
                                                  controlled brain
                                                  erasure

15                      "tricorder"-like          enhanced biological
                        imager systems            protheses

"enhanced" protheses = increased strength and endurance
"nanocytes" = cell sized biomechanical imaging or treatment systems
 passed into the patient.

 Note that many items occur earlier in my time line than in MT or
 traveller.  This is due largely to their predecesors appearing at our current
 tech level e.g. primitive artificial vision is occurring _now_, we have
 artificial (albeit extremely large) artificial organs, and have experimental
 gene therapy.  Real good binocular vision is happening now (only it takes
 a mini-computer to run it), either we're in TL 9 and TL 10 will make it
 portable, or...well, anyway things are changing quicker than they have
 any right to.

ttfn,
eric sergienko
[email removed]
uniformed services university of the health sciences
[phone removed]
"There is no body cavity that can't be reached with a 14 gauge
 needle and a strong arm."
 - 4th rule of the House of God