EVALUATION OF SOVIET MEDICAL BOOK ON THE ROADS OF SCIENCE
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Publication Date:
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P CLASSIFICATION CONFIDENTIAL/SECURITY INFORM/UMer
COUNTRY USSR
SUBJECT
PLACE
ACQUIRED
DATE
ACQU I RED
CENTRAL INTELLIGENCE AGENCY
INFORMATION REPORT
Evaluation of Soviet Medical Book
"On the Reads of Science"
DATE (OF INFO)
THIS DOCUMENT CONTAINS INFORMATION AFFECTING THE NATIONAL DEFENSE
OF THE UNITED STATES, WITHIN THE MEANING OF TITLE IS, SECTIONS 793
AND 704, OF THE U.S. CODE, AS AMENDED. ers TRANSMISSION on RETE?
CATION OF ITS CONTENTS TO OR RECEIPT BY AN UNAUTHORIZED PERSON IS
PROHIRITED ST LAW. THE REPRODUCTION CF THIS FORM IS PROHIBITED.
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DATE DISTR. g; SEP 53
NO OF PAGES 8
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NO. OF ENCLS.
(LISTED BELOW)
SUPPLEMENT TO
REPORT NO.
THIS IS UNEVALUATED INFORMATION
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1.
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Soviet medical
book PO DOROGAM NAUKI (subtitle, RABSKAZY 0
MENTSIBE) By L S Fridland; Publisher7. Gosudarstvennoye Izdatellstvo
"Sovetskaya Nauka" Moscow 1951 (308 pp)2
This book, the title of which means "On the Roads of Science" (subtitle,
"Stories of Medicine"), is not, strictly speaking, a medical teXtbook. It
was 'written presumably for nonmedical intellectuals and is someShat similar
in its approach and in the kind of audience for whom it was 'written to some
of the works of Paul deKruif. Fridland, the author,
At the end of the New Economic Policy (NEP)
period in the USSR in 1927 or 19282 published several nonscientific books
dealing with such problems as venereal disease, sexual aberrations, etc.
These were best sellers in the USSR.
they were written in a very lurid style and found many
of their subjects and partly because of their sensa-
these books actually were ultimately banned in the
readers partly because
tional style. Some of
USSR.
Of all the Soviet scientific books
this one is perhaps the most servile as far as subscription to
the Communist line is concerned. In spite of this, however, the book deserves
some attention because it covers a vide variety of interesting medical topics
and purports to contain discussions of some of the most important Soviet con-
50X1 tributions to these fields. It is not possible to state categorically
50X1 which of the contributions discussed are in fact true. It seems how-
ever, that although these Soviet scientific achievements are probably exagger-
ated by the author, there is, nevertheless, probably some core of basic truth
in all of them.
2. The preface to this book starts out, as might be expected, with a quotation
50X1 from Stalin and reads like an editorial from Pravda. It is not necessary
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to describe the preface in detail but the general tone of it is that every-
thing is right in the USSR and wrong elsewhere. The author, of course,
strongly supports the present scientific Communist line and describes Pavlov's
neurism as a kind of "Soviet Darwinism."
3. Chapter One: "Aulptg,Ls111
This chapter heading is typical of the popular style in which this book is
written. The subject under discussion here is blood transfusion and the au-
thor starts out with a historical survey of the subject which, even mentions
the internationally-recognized work of Landsteiner, whose historic publica-
tion in this field appeared in 1901. It is apparently still possible in the
USSR to quote Western researchers whose work dates from before the Russian
Revolution. The author describes the technique of blood transfusion and men-
tions the outstanding work of the Soviet surgeon Vladimir Elkolayevich Shamov,
who started using blood transfusions in Moscow and Leningrad in 1919. Shamov
proposed the use of many stabilizers for blood preservation. In 1930 he and
his associates proposed using for transfusions blood from cadavers. This
method of transfusion of course has some advantages. A large amount of blood,
for example, can be obtained from a single donor and can be used without any
stabilizers. According to Fridland, 2,050 blood transfusions from cadavers
were performed in the USSR up until 1940 and "many thousands since." Fridland
also briefly discusses plasma transfusions and methods for the preparation of
50X1 dry plasma. The author
at this point inserts a little propaganda by stating that blood donors in the
US are "poor exploited people who give blood for money although they them-
selves need transfusions because of the bad condition. of their health." He
further states that. in France and Italy people are persuaded to give blood by
promises of religious salvation. Of possible interest is the following table
contained in this chapter:
Date
No of Transfusions
in the USSR
Percentage of Transfusions
Using Preserved Blood
1932
2,433
1935
22,160
26%
1938
100,143
70%
1940
226,000
90%
NO figures later than 1940 are furnished. At the close of this chapter. the
thor_briefly discusses Bogomolets' "colloidoclastic shock" theory which exe
Plaits death resulting from blood transfusions. According to the theory,
death is caused by intracellular storms occurring after transfusion. This
50X1 theory has been regarded as being of the arm-chair variety but found
50X1 many adherents in the US.
an
Charter Two: "The Fight with Old. e"
The author starts this chapter with some speculation as to what the actual hu-
man life span is and he believes that it is somewhere between 120 and 150
years. He contrasts this figure with figures on the normal life span in vari-
ous parts of the world. The figures he gives are interesting: US, 41 years;
Sweden, 43 years; Germany, 34 years. He furnishes no figures on the USSR.
He attributes the very low life span in capitalist countries to "bourgeois
science which, existing as it does on the gifts of capitalism, does not try
to find ways to prolong human life but on the contrary considers such measures
Armful." To support this theory he quotes the famous German professor, Hanse-
Aann, who allegedly in a speech given in 1910 said that measures which pro-
longed human life were harmful because disease and war are factors for select-
ing strong individuals. He also quotes from 1./sly to Salvation by William Fogt 5i27
(New York, 1948), who Fridland says is Director of the Institute for the Pro-
tection of Nature 2-sic 7 of the Pan-American Union. According to Fridland,
tFProbably Road to Survival - William Vogt N.Y. 194
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Fogt says that disease, famine, iwax, and death are ways to salvation because -
they lead to the diminution of the population. Still another quote is from a
1948 report of "a US research assaciation concerned With labor!, which, aceord
ine to the author, describes the horrors of life in Atlanta, Georgia; Jeffer-
son, Alabama; and Detroit, Michigan. The report allegedly states that in
1944 275. thousand people died from starvation in the US and 468 thousand died
50X1 from lack of medical attention. The author furnishes many other such quota-
tions he
50X1 also mentions work with a group of very old people in the northern Caucasus-.
50X1 He gives a routine survey of the Prob-
Iems-of old-age, but this survey [is Very primitive. He cites the.work.of Ilsya
Mechnikov and also of Sergei Voronov. On page 69 he describes the fa-
mous.althbugh Controversial anti-retiCular cytOtoXicaerum of:Bogomolete. It
50X1 was very interesting that he\describes this serum aa'a-Iery-interesting
achievement'bui.one:which, nevertheless, has been examinedandire-eiaMinedeo
much that now it is difficult to assess its true value. This :Is-significant-
50X1 in the light of the great popularity of Bogotoiets in-the 1940's, when
it was virtually treason to disagree with any of his theories. . Fridland also
describes in this 'chapter the work of Mariya Kapitonovna PetroVa,'-one of Pay-
loIP's assistants who for many years performed experiments on two groups of
dogs-. One group was continually stimulated or overstimulated and after only
-WO :or three-years of this treatment exhibited all the symptoms of old age.
The secondgroup vat treated in the opposite manner,'i.e.4 no overstrain or
olierstimulation, and remained in good physical Condition for a very long time.
Petrovaz experiments, although resulting in the expected conclusions., were,
nevertheless, good sound scientific-work. The author contrasts them to the
concepts of Bogomolets, which, he says, are not supported by the theory
neurism and should be regarded as only a possible solution to the problem of
old age.
5. Chapter Three: "Deceived Death"
This chapter contains a very dramatic description of a number of cases of so-
called "clinical death," and among other things describes the work of Prof
50X1 Vladimir Aleksandrovich Negovskiy According to
the author, Negovskiy after 300 experiments on dogs in which clinical death
had been artificially induced, introduced a new method for the revitalization
of humans. According to the author, Negovskiy revitalized 54 patients (sol-
-liers in the Red Army) during World War II. His recommended procedure is as
follows:
4, immediately after death begin artificial respirgtion 'with
the help of special apparatus similar to a hand-operated iron lung
which works through a tube introduced into the trachea.
. b. SJ-art the intra-arterial transfusion of 300 cc's of blood
plus adreagLin under high pressure.
c. Start an intravenous transfusion of 700 cc's of blood plus
hydrogen peroxide plus 100 per cent glucose
According to the author, this procedure was successful in the 54 cases men-
tioned above. It is most effective when performed immediately after the heart
Stops and-is not effective at all six minutes after death. The arterial trans-
fusion recommended was very interesting to me.
6. Chapter Four: "Stimulators of Life"
This chapter is concerned principally with a discussion of the work of Vladi-
50X1 mir Petrovich Filatov, the famous ophthalmologist from Odessa.
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Filatov started research on the age-old
problem of corneal transplants. He discovered that many of the unsuccessful
transplants had been of animad corneas and that actually only human cerneal
tissue could be transplanted. He further decided that the corneal tissue most
suitable for transplants was not absolutely fresh and that the best results
were obtained with tissue which had been under refrigeration for three to four
days. Filatev. was subjected to a considerable amount of criticism
because of this theory; nevertheless, he performed hundreds of corneal trans-
plants with better than 80 per cent success. As a result of his work he
evolved a theory which states that all human tissue has special biogene stimu-
lators which ate especially energetic when the tissue is placed under unfavor-
able conditions and further that these stimulators are the last reserves of
tissue in its struggle for life. An example of these unfavorable conditions
is the refrigeration of corneal tissue. Explainable also by this theory is
the post mortem growth of nails and hair. Pilatov also believed that Corneal
transplants could be used not only as replacement treatment but also as cura-
tive treatment and that the biogene stimulators in such tissue acted to cure
disease. He stated that it was necessary only to transplant a piece of such
tissue near the diseased area to cure disease. This procedure hash been very
helpful in the treatment of various eye conditions.
7. Chapter Five: "Microbes against Microbes"
This chapter deals with the subject of antibiotics but does not contain any-
50X1thing very intereating te the Western reader. The author claime'that in 1892'
Dmitriy Osipovich Iyanovskiy discovered viruses.
50X1 The author discusses
Soviet developments in the field and states that in 1942 Zinaida Vissarionovna
Yermola found an original method of producing penicillin commercially. In
50X1 1942 the USSR had Obtained penicillin from the US and hence Miss Yermol'yeva's
interest in its production. following
50X1 World War Il one of the leading German scientists in this field
that as late as 1944 his laboratory had not been able to devise a method for
the production of penicillin, although they had US penicillin ampules and knew
in a general way how these had been produced in the US. On page 137 Fridland
states ths' because of the preventive and therapeutic use of penicillin, the
percentage of recovery of wounded soldiers in the Red Army is 70 per cent.
Other specific topics in this general field discussed by Fridland include the
work of the famous Soviet neuro-surgeon Nikola Filovicii Burdenko, whose fame
Of course goes back to pre-revolutionary times. During World War II Burdenko
developed a new method for the arterial administration of penicillin which
was very valuable for the treatment of brain lesions. He started this treat-
ment with an intravenous infusion of 10 per cent sodium chloride and then in-
troduced 10,000 units of penicillin via artery and following this with an ad-
ditional 40p000 units injected intramuscularly. No statistics on the efficacy
of this treatment are given. The author also mentions specific antibiotics
developed by the Soviets. One of these is called gramitsidin and is appar-
ently similar td the US tyrothricin and is used only externally because it is
too dangerous. The Soviets have another called aspergillin, which the author
describes only as "an effective antibiotic" and a third called eritrin, which
is apparently effective against diphtheria when used with regular diphtheria
serum. On page 162 the author describes work by Dr (fnu) Boshrjan, another
50X1 man who claims to be able to Obtain viruses from
protein crystals and to produce microbes from these viruses. The author does
not go into any detail about Boshiyan's work but does state that the work
must be checked further and that it may turn out to be significant.
0 Chapter. Six: "The Fight for Time"
This chapter deals with frostbite and starts with a survey of the clinical
picture of various kinds and degrees of frostbite. According to the cid-
fashioned treatment of this problem, patients should be kept in rather cold
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rooms and that the ?affected parts should be rubbeg with ice. Following this
the temperature :should gradually be increased. 114.so recommended was early am-
putation, if necessary, to. prevent the spread of angrene. During World War
.1.
II thiZclassical treatment was changed. Especia y valuable, according to
the author, in this connection was the work of Semen SeMenovich GirgoIav) whom
I remember ve ;I - cellent anti-Communist scientist.
Girgolav started hiStreatment by warming his
patients Using rather hot air. In cases Of gangrene he used necrotomy. Az:-
cording to the author, his results were very favorable : because the duration
of the problem was lessened and there was les early gangrene and, therefore,
fewer amputations.
9. Chapter Seven: "The Art of Repair"
This is a discussion of Seviet developments in the field of plastic surgery
and a nuiber of interesting techniqueaare described including the following:
a- On page 186 the author states that PrefeSsor (fnu) Ehrush-
chev discovered during World War II that the addition of an emul-
sion of leukocytes to any wound resulted in quicker recovery.
Khrushchev believed that the reason for this was that leukocytes
contain special stiMulators called trephones.
b. The author also describes the work of Professor (fnu)
50X1 Bogoraz. He was an orthopedic surgeon
50X1 from Rostov Although he
lost both his legs at the knees in an accident, he continued to op-
erate. The author describes his treatment of severe hip fractures
with extreme dislocation. During World War II he used a special
technique called "segmentary osteotomy" which he found very effec-
tive. Instead of attempting to reduce a very serious fracture all
at one time, Bogoraz actually broke the bones into segments and re-
aligned the segments. The author also mentions another of Bogorazt
techniques by which he replaced an injured femur head with an arti-
ficial cup made of plexiglass. According to the author, Dogoraz
had very great success with this technique.
c. On page 192 the author describes a special technique of
the neuro-surgeon (fnu) Anokhin, which was used to treat lesions of
nerve trunks. It is sometimes Lipossible to connect the ends of a
severed nerve trunk but Anokhin, according to the author, developed
a technique for effecting this repair, using a so-called nerve
bridge. This technique amounts to joining the segments using a sec-
tion of nerve trunk taken from a young coy or bull.
d. The author states that Bogoraz (see above) successfully
transplanted a paw from one dog to another with good results,- in-
cluding complete muscular use of the transplanted paw.
e. The author also describes Filatovts method for skin
grafts, the sO-called "traveling skin" method.
f. Also described is the work of Professor (fnu) NIkheltson
,ng World War II- According to Fridland?'Mikhel'son Successfully
gi_Aed a section of tongue in the case of a patient who had lest
his tongue from a gun-shot wound. He apparently used skin and sub-
cutaneet.:: '.:Tzsue for this work.
g. Finally in this chapter the author describes the very deli-
cate operation which is used to build an artificial esophagus. -
This operation, of course, has been performed in many countries.
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10. Chapter Eight: "Heart Beige"
This chapter deals with injuries to the heart and includes at the beginning a
historical survey of the field. The author describes the delicate operation
called cardiorrhaphy used to suture the heart muscle which formerly had as
high a mortality rate as 50 per cent. According to the author, Professor yus-
tin Yul'anovich Dzhanelidze developed a special technique for this operation
which greatly reduced its mortality rate. He used transplants of small
amounts of adipose tissue. This technique of Dzhanelidze, incidentally, is
based on work he did during World War I. In some cases heart lesions may
cause angina pectoris and the author describes Dzhanelidze's treatment of
this situation by which he excised callous tissue in the heart and replaced
50X1 it with adipose tissue. If still alive, Dzhanelidze would
now 2719531 be in hia 70's, The author also describes in this chapter vari-
ous other experiments using an artificial heart developed by Alexis Carrel .
50X1 it indicates that the &vie 3
are in possession of and are familiar with this device. The author describes
the work of the surgeon (Thu) Demikhov who successfully transplanted the
heart of one dog to another using the Carrel heart. According to this tech-
nique, Demikhov first implanted a second heart in the subject dog and left
two hearts in the dog fpr a time. Later he stopped the dog's original heart.
This experiment was performed on "several dozen dogs," some of which lived
for eight to ten days following the operation. Although these later died,
death was not caused by the transplantation itself but by infection, pleural
complications or destruction of nearby tissue. The author also describes the
well-known experinents of Brukhonenko and Chechulin, who decapitated a dog
and successfully kept the dog's head alive for a considerable period of time.
Not only was the head alive but it retained the use of many of its faculties.
It opened its eyes and closed then in response to light stimuli and when acid
was placed on the lips, the tongue licked it off. The ears also were cocked
in response to a, whistle.
11. Charter Nine: "When the Drain Sleeps"
This chapter is a history of anesthesia. The nost interesting part of this
50X1 chapter is a description of the work of a young scientist named Vsevolod
Semenovich Galkin. He continued the famous experiments conducted at the In-
stitut Pasteur by Roux and Bezredka, who of course discovered that aniphylac-
50X1 tic shock was not encountered in anesthetized patients. According to the au-
thor, Galkin conducted a number of very interesting experiments which
50X1 probably date from after World War II. He discovered that actually
no aniphylactic shock developed in an experimental animal when the animal was
just sedated with sleeping pills, i.e., not deeply anesthetized. On page 252
the author states that Galkin discovered that there was no ulceration result-
ing from the application of Lewisite to a sedated animal. Similarly there
was no reaction from milk injected intramuscularly. Prior to the development
of the electric shock treatment in psychiatric cases, capshor or cardiozal
was used to produce cramps. Galkin discovered that such cramps did not de-
velop in deeply sedated animals. Another phenomenon he discovered was that
cyanide administered in normally fatal amounts produced no results on a se-
dated animal. One of the few human applications of Galkin's work that the
author describes is the recovery of humans from cicuta (hemlock) poisoning
when sedated with cocaine. One of the most interesting studies performed by
Galkin had to do with high altitude disease. Using a special pressure cham-
ber he discovered that ten anesthetized dogs were able to live at the sub-
stratosphere level and that no high altitude disease developed. This work is
described on page 258. Galkin also discovered that anesthesia was helpful in
the case of post-transfusion shock in humans caused by their being transfused
with incompatible blood.
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12, ChaptervTen: "Qt the Eve of Victory"
This chapter is andiscussion_of cancer. It contains little of interest to
the Western reader and most points covered are merely routine.
50X1 however, mention the following points:
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a. According to. the author, Professor_(fnu) Shabad found tan- n
?--.PerogenicOUbstance in the liver of healthy men, although it was 77
?. esPeciai3-.Y.PraValent.in the liver of a patient suffering from can
cer.-
. .b, PrefessorAi,eksandr Pmitriyevich.Timofeyevsky after 20. n
year work74aanable to develop cancercells.whithlest their mag -
nancy after:many.passages-through Carrel millienx.. ? -...
Timofeyevskiy as.a very modest and reserved man. Who 1448-:-.1.
tompletely.apolitical-and.was interested:in:nothing but his. laborar.:T;
tory.
c. Dillon, anMoscow x-ray specialist, treated cancer with .
fair success by 'bombardment of the tumor with x-rays from 35 to 4o
different points.. .
dn The anthor stressed the importance of early diagnosis in
the fight against cancer and prescribed regular checkup examine- :
1.ons?ofhealthy_individuals.for this purpose. Ir this connection;
,on page 312 he states that during the years 1944-1946 only. . ?
persons receivedSuch checkups in Philadelphia; whereas, during. the .
first six. months of 1946 alone,. 26,000 people were examined in Lenin.;
grad. he also states that in the rich US every patient must pay .
US*2 for this examitation.although many. are only receiving 50 .cents
.
per week In social security. He further states that the capitalis-
tic regime is the most important single cancer-producing factor,
Chapter Eleven: "Further Links"
This is the ,icrnt scientific chapter in the book and in general is a good
treatment of its subject. It deals with the work of Pavlov, or more properly
of one of his assistants, Konstantin Miknaylovich Dykov, who is now one of
the. leading Soviet scientific lights. Bykov's many experiments proved that
the visceral organs have not only unconditioned but conditioned reflexes and
that their actions may be controlled to some extent by the central nervous
system, This work of Lyhov was excellent and Fridland, the author, .gives a
very good description of it. The practical application of Dykovis work is
that his rtheory may be the scientific and physiological basis of nsychosomatic
medicine, This chapter contains very little anti-capitalistic nropaganda with
the exception of a statement on page 368 that according to US medical statis-
tics of 1948, one-third of the US population suffers Cron hynertensive di-
sease and 8 million from mental disease. The authOr taCD goes on to contrast
this with the wonderful conditions in the USSR.
14. Cenoluaionv ."Different Lines" ? .
. _
This chapter is all propaganda and is merelya discussion of the different
conditions encountered it the USSR and the- US.. To make his point the author
evennquotes?6X-PreSident Truman. he states that Truman "coUid not helpadmit-
tin:got 5 JanT48 that the US medical Organization is obsolete and cannot keep
up with progreSs in medical science" and further "that medical treatment is
too expensive and is not available to many US citizens." A number of other
Western individuals are quoted either correctly or incorrectly to support tbe
authors theory.
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unable to say whether or not all the scientific
work described in this book has been carried out as the author describes.
believe, hOweverthat.certainly the basic material:presented is true.
ll'ameof.the Soviet developMentaare certainly exaggerated and also certainly
some important Soviet, advances in medical science have been omitted, gen-
eral impression from reading the book is that general concepts and theories
in medicine :which have found favor with the Communist regime are obligatory
for Soviet saientists. some
of the:men:Whowere in great favor Such asSperanski
and Bogomolets, are now definitely out of fayor. On this basis perhaps some
day even Pavlov and Lysen:,:o will pass out of the Soviet scientific picture.
After all, prior?toliorld Wtr,ItPaviOvs name was definitely.nOt popular in
Communist-dircles.
- end -
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