Ignatz Leo Nascher
Encyclopedia
Ignatz Leo Nascher was born in Austria
Austria
Austria , officially the Republic of Austria , is a landlocked country of roughly 8.4 million people in Central Europe. It is bordered by the Czech Republic and Germany to the north, Slovakia and Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the...

 and later became a doctor. He coined the term "geriatrics
Geriatrics
Geriatrics is a sub-specialty of internal medicine and family medicine that focuses on health care of elderly people. It aims to promote health by preventing and treating diseases and disabilities in older adults. There is no set age at which patients may be under the care of a geriatrician, or...

" in 1909.http://news.bbc.co.uk/1/hi/magazine/5246534.stm

Biography

Nascher was born in Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

, Austria, and immigrated to New York City
New York City
New York is the most populous city in the United States and the center of the New York Metropolitan Area, one of the most populous metropolitan areas in the world. New York exerts a significant impact upon global commerce, finance, media, art, fashion, research, technology, education, and...

 where he was brought up Later he also assumed US-citizenship. He drew on the Austrian system of care for the elderly. John Morley wrote that Nascher was "truly a polymath and a pioneer, whose ideas and efforts were underappreciated by his peers."

Nascher graduated from college with a degree in pharmacy in 1882 at the age of 19. Several years later he completed his MD and began private practice to which he devoted the first years of his career. During his time he published articles including "A Young Living Fetus" (Medical Record of New York, 1889), an article on prostitution in 1908 and "Tissue Cell Evolution" (New York Medical Journal, 1910).

Geriatrics

He wrote, "Geriatrics, from geras, old age
Old age
Old age consists of ages nearing or surpassing the average life span of human beings, and thus the end of the human life cycle...

, and iatrikos, relating to the physician, is a term I would suggest as an addition to our vocabulary
Vocabulary
A person's vocabulary is the set of words within a language that are familiar to that person. A vocabulary usually develops with age, and serves as a useful and fundamental tool for communication and acquiring knowledge...

 to cover the same field that is covered in old age that is covered by the term pediatrics
Pediatrics
Pediatrics or paediatrics is the branch of medicine that deals with the medical care of infants, children, and adolescents. A medical practitioner who specializes in this area is known as a pediatrician or paediatrician...

 in childhood
Childhood
Childhood is the age span ranging from birth to adolescence. In developmental psychology, childhood is divided up into the developmental stages of toddlerhood , early childhood , middle childhood , and adolescence .- Age ranges of childhood :The term childhood is non-specific and can imply a...

, to emphasize the necessity of considering senility and its disease apart from maturity
Sexual maturity
Sexual maturity is the age or stage when an organism can reproduce. It is sometimes considered synonymous with adulthood, though the two are distinct...

 and to assign it a separate place in medicine
Medicine
Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....

." This was originally published in an article entitled "Geriatrics" in the New York Medical Journal (1909; 90: 358-9).

His 1909 article broke with prevailing views on aging. Nascher wrote that "senility is a distinct period of life
Life
Life is a characteristic that distinguishes objects that have signaling and self-sustaining processes from those that do not, either because such functions have ceased , or else because they lack such functions and are classified as inanimate...

, a physiological entity as much so as the period of a childhood
Childhood
Childhood is the age span ranging from birth to adolescence. In developmental psychology, childhood is divided up into the developmental stages of toddlerhood , early childhood , middle childhood , and adolescence .- Age ranges of childhood :The term childhood is non-specific and can imply a...

." This emphasis on physiological processes and mechanisms of aging and senescence
Senescence
Senescence or biological aging is the change in the biology of an organism as it ages after its maturity. Such changes range from those affecting its cells and their function to those affecting the whole organism...

 challenged the "pathological model" of aging that was then "the primary focus of medical researchers, including Nobel Laureate Elie Metchnikoff." Nascher addressed and rejected Metchnikoff's theory that aging was caused by
tissue phagocytosis and "autointoxication" (the absorption of intestinal decompositions) for which Metchnikoff prescribed yoghurt.

Dr. Nascher argued that the disease and medical care of the aged should be considered a separate specialty. His published research included the first U.S. textbook on geriatric medicine. Nascher founded the New York Geriatrics Society in 1915. Two years later, he started a regular feature in the Medical Review of Reviews. He was named the American Geriatrics Society's honorary president at their first meeting in June 1942.

Initially, Nascher encountered resistance from his colleagues. He had difficulty finding a publisher for his 1914 book, Geriatrics: The Diseases of Old Age and Their Treatment (Philadelphia: P. Blakiston's Son & Co). The book has three major sections: physiologic old age, pathologic old age and hygiene and medicolegal relations. Nascher concluded, as do most geriatricians today, "senescence
Senescence
Senescence or biological aging is the change in the biology of an organism as it ages after its maturity. Such changes range from those affecting its cells and their function to those affecting the whole organism...

is not due to any one cause." "[D]isease is not (always) a causative or even an essential factor." The Canadian Medical Association Journal reviewed the book in 1914 finding the book most interesting and valubalbe. The 517-pages book was reprinted in 1979 by Ayer Publishers.

Nascher observed a fundamental antipathy towards the elderly in society: "The idea of economic worthlessness instills a spirit of irritability if not positive enmity against the helplessness of the aged."
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