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Lesson No. 13. .
Sir Alexander Fleming
Ones a
RT MLC LC
Wo
Words Synonyms Urdu Meanings
Revolutionize Change Compietely ete
Microbes Germs ez
Peer Fellow ee Ces
Antiseptic Killing Germs Sez
Sterilize Disinfect Wee
Prevention Stopping me
Cure Treatment ue
Abandon Give up ode
Armour Protection Je sas
Bugle-Cali Cail for battie ot LS
Inoculation, Injection Pose?
Ocullst Eye Doctor Prin
Optician Eye Glass Maker Virdee
Veterinary Doctor of animais Piste tie
Prospects Expectations 2?
Adequate Appropriate Oho
Septic - Infected Cz
Tackle Solve, deal Ty.
Catarrh Flue oF.
Agar A jelly got from a Serr vei
sea weed eee ey
Mduld Funaus SintComplete Urdu Translation
ms Nal
Pasteur ‘discovered germs, and Lister killed them. These two
men together revolutionized the theory and practice of
medicine.
Louis Pasteur, a French chemist, discovered that disease was
caused by living organisms so small that they could not be
seen with the naked eye-micro-organisms, or microbes, or
bacteria, or germs; the words all mean the same thing. Joseph
Lister, an English surgeon-later Lord Lister, the first medical
peer-applied Pasteur’s discovery to surgery.
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Since germs are alive, germs can be killed. They can be
destroyed by heat or poisoned by certain chemicals, called
antiseptics; carbolic acid is one, and that was the germ-killer
Lister used. Previously surgeons had, without knowing it,
infected their patients on the operating-table with germs, chiefly
from their surgical instruments. Lister sterilized his instruments
with carbolic acid, and used carbolic acid to kill the germs on
his hands, on the patient's skin, and even in the air in the
operating-theatre. Then he could cut his patients open without
fear of infecting them with the germs of disease.
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Lister's aim was the prevention of disease. The object of his
antiseptic method, as it was called, was to stop germs from
getting into the body. The cure of disease was a more difficult
problem, for here the germs were already inside the body.
Certainly they could be killed by the same antiseptic method:
but it was soon found that a chemical that destroyed germs
also destroyed the cells of the body. Injecting carbolic acid into
the blood was tried, and quickly abandoned for it did more
harm than good. To kill all the germs the dose would have had
to be strong enough to kill the patient, too.
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It was a bacteriologist named Metchnikoff, a pupil of Pasteur,
who revealed the true nature of the problem. He discovered the
body's natural armour against disease—the leucocytes, or
white cells of the blood. He showed that when germs enter the
body they are immediately attacked by hosts of white cells from
the whole neighbourhood, which rush to join battle with the
invader like soldiers answering a bugle-call. He showed thatdisease was, in fact, a fight between the leucocytes and the
germs—and a fight to the death, for it ended only with the
death of the germs or the death of the patient.
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Carbolic acid and all the other known antiseptics did more
damage to the leucocytes than to the germs. The problem was
to find something that would attack only the germs, and to help,
not destroy, the fighting leucocytes.
The problem was still unsolved in 1906, when Alexander
Fleming passed the finals df ‘his medical examination and
joined the staff of the Inoculation Department of St. Mary's
Hospital, Paddington.
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Alexander Fleming was born on a farm near Darvel, in
Ayrshire, on August 6, 1881. He was the youngest of a family
of eight. His father died when he was seven years old, and his
eldest brother, Hugh, took over the management o{ the farm.
Alexander was then still going to the village school. At ten he
went to Darvel School, and stayed till he was twelve. That was
the age-limit. The question was then discussed whether he
should continue his education or go back to the land. It wasdecided to keep him at school, and he went to Kilmarnock
Academy. At fourteen he went to London, and for the next two
years he studied at the Regent Street Polytechnic.
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Three of his brothers were already in London when he arrived.
One of them, Thomas, had studied medicine at Glasgow
University, and was a qualified oculist. Two others became
opticians. And back in Scotland. one of his sisters married a
Darvel doctor, and another a veterinary surgeon. The Flemings,
born on the land, were becoming a medical family. But when
Alexander left the Polytechnic, at sixteen, he was to take a job
as a Clerk in a shipping firm in Leaden-hall Street. There was
_ Not enough money for him to study for a profession or trade.
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Fleming worked in Leaden-hall Street for four years. Then, at
twenty, he received a share in a legacy. !t was not large, but
enough for him to train for a career with better prospects. Hisbrother Thomas was then in Harley Street; and according to
Fleming himself, "My brother Thomas pushed me _ into
medicine.”
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Sr tt lowitirsuacr
There were twelve medical schools in London, and Fleming
knew nothing about any of them. He chose St. Mary's for no
better reason than that he had played water-polo against the
Hospital team.
For eight years Fleming worked in Wright's laboratory; for eight
years he sought to find a means to aid the leucocytes in their
fight against invading bacteria. Then, in 1914, he joined the
R.A.M.C., and came face to face with one of the main medical
problems of the First World War: the treatment of infected
wounds.
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By 1914 Lister's antiseptic method of surgery had been largely
replaced by what was called the aseptic method. Instead of
chemicals heat was used to sterilize instruments, clothing and
other operating-theatre equipment. The purpose was the same,
to prevent germs from getting into the wound. In peace-time
this was adequate for most surgical cases; but in the treatment
of war wounds prevents is not enough. In nearly every case the
wound was infected before treatment could be begun. Thus thesurgeon's problem was the same as that of a phys
treating disease: he had to try to kill the germs without
damaging the leucocytes that were already fighting against
them.
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There was no solution—and the problem was tremendous. For
the first time in warfare high explosives were used extensively,
and wounds that were not infected were rare indeed. The
surgeons were unprepared. Thanks to the antiseptic and
aseptic methods, infection in surgical cases had becom® the
exception instead of the rule; now it was the other way about
again. "We have in this war gone back to all the septic
infections of the Middle Ages", said the Director-General of the’
.Army Medical Service.
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Medical officers treated infected wounds by the only method
they knew, with chemical antiseptics. They applied carbolic
acid, iodine, and other chemicals to open wounds in an attempt
to destroy as many germs as possible. They could not destroyall the germs, but thought that if only some were killed it would
be better than none.
Meanwhile Fleming, a medical officer himself, was still working
with his old chief. Sir Almroth Wright had been made a Colonel
in the Army Medical Service, and had set up a research
laboratory at Boulogne. There, with the help of Fleming, he set
to work to tackle thé problem of wound infection.
Wright and Fleming discovered that the treatment being used
was doing more harm than good. Each of the chemical
antiseptics was more harmful to the leucocytes than to the
germs: and in some cases the antiseptic actually helped the
germs to grow and multiply. And Wright and Fleming both
insisted that the method was basically wrong - taat the
surgeon's aim should be not so much to kill the germs with an
outside agent as to help the leucocytes do their natural germ-
killing work.
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Experiments were made with different chemicals, and one after
another became fashionable and then gave way to the next.
And.at the end of the War, which had killed about seven million
men, the problem was still unsolved.
Fleming, now thirty-seven, went back to St. Mary's and
continued research. And in 1922 he discovered an antiseptic—
not a chemical like carbolic acid, but a natural antiseptic
manufactured by the body.
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He made the discovery by what he modestly called an
accident. He was suffering from catarrh, and began to examine
his own nasal secretions. In these secretions he discovered a
substance that destroyed microbes on the -culture plate. He
called it lysozyme.
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Lysozyme proved to be of little practical use in the treatment of
disease, but the discovery was of considerable importance: for
it was the forerunner of penicillin. .
Lysozyme was not a chemical but a natural antiseptic; and
unlike chemical! antiseptics, it destroyed germs and yet had nu
harmful effect on the leucocytes. It was, in fact, the first
antiseptic discovered that was harmless to the cells of the
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Penicillin was the second. The discovery of lysozyme did not
bring Fleming popular fame, but it raised his position in the
world of science. The medical profession began to pay more
attention to what he said: and at this time he had quite a lot to
say.on the subject that had occupied his mind ever since the
First World War. Chemical antiseptics were fashionable again, -
and Fleming once more reminded doctors of the greater
importance of the natural defences of the body.
In 1928 Fleming was appointed Professor of Bacteriology in the
University of London and in the same year he “hit on" penicillin.
The phrase in his own. "The very first stage in the discovery,”
he says, "was due to a stroke af good fortune." But only the first
stage.
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In his laboratory at St. Mary's he was carrying out a series of
experiments on the common germ called staphylococcus. He
was growing colonies of the germs on plates spread with agar.
The plates were kept covered, but to examine them undsr amicro-scope he had to take the covers off. “As soon as you
open a culture plate,” he said afterwards, “you are asking for
trouble. Things drop from the air. One of those bits of trouble
happened to be penicillin. A mould spore, coming from | don't
know where, dropped on the plate.”
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Presumably the spore of the mould, or fungus, was blown in
through the window. It may have come from the larder of a
forgetful Paddington housewife—for this particular mould
commonly breeds on damp bread, cheese, and preserves. It
grows best when the conditions are cool and damp and the
summer of 1928 was very cool and damp.
Having settled on the culture plate, the mould began to grow.
And almost at once the microbes round it began to disappear.
Fleming put aside the work he was doing and began to
investigate. He made a pure culture of the mould, and tried its
effect on other bacteria. Some grew right up to it; others, like
the staphylococci, stopped short, inhibited by its antibacterial
action.
The next step was to produce the anti-bacterial substance free
of the mould. Fleming did this by plating the mould on a meat
broth. It grew on the surface as a felt-like mass, and turned the
broth yeliow. After a week's growth the fluid was strained
through a fine filter and tested for its anti-bacterial properties.
The results were as favourable as before, and Fleming knew
that he had discovered another natural antiseptic with far
greater possibilities than lysozyme. He called It penicillin.
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Further experimerts showed that, in its effects on germs like
staphylococci. penivilin was about three times as strong as
carbalic acid and ail the other chemical artiseptics, it had no
toxic effect at all on leucocytes. Theoretically it iocked tike an
ideal germ-killer- the antiseptic that had been sought ever since
Pasteur discovered germs. In practice there was one big
obstacle: in its crude form penicillin was unstable, and it could
not be used in the treatment of disease until a means was
found of concentrating it.
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That was a chemist's job, and Fleming was a bacteriologist. He
tried to concentrate the drug, but failed. He lacked both the
training and the equipment needed for the job. He published his
findings, and continued to proclaim his faith in penicillin; and he
kept his original culture of the mould. It can be seen today,
dried up but still recognizable, in a place of honour in the
Museum of the Medical School of St. Mary's Hospital.
So it seemed that penicillin was, like lysozyme, just another
laboratory success. And regretfully Fleming turned ‘to other
things.
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Meanwhile a fresh attempt had been begun to solve the
problem of concentrating penicillin‘ it was made at Oxford by a
team headed by Professor (now Sir) Howard Florey and Dr. E
B. Chain.
The Oxford team included trained chemists as well as
bacteriologists, and had all the equipment that Fleming had
lacked; yet it was a long, hard struggle before they succeeded
in producing a practical concentration of penicillin. The first
human cases were treated in 1341 end ‘he problem then
became a "matter of production. One of the Oxford team went
to America, where new methods of manufacture were
discovered, and in 1943 penicillin reached the Eighth Army in
Egypt. In the words of Viscount Montgomery of Alamein. "The
heaiing of war wounds was revoiutionized" Pentcilln arriv:just in time to save countless lives. It was easily the strongest
weapon yet forged in the fight against disease.
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While penicillin was being hailed as a wonder drug, the name
of its discoverer was hardly known outside the medical
profession. Then Sir Almroth Wright wrote a letter to The Times
telling the world who had fade the discovery. And Fleming
became famous. 7
He was knighted in 1944, and awarded the Nobel Prize for
Medicine in 1945. Government and universities all over the
world showered him with honours. He had to travel widely,
attend functions, make speeches, received thanks—often
personal expressions of gratitude from people who owed their
lives to his discovery. In Italy once, at a medical gathering, an
unknown man in short-sleeves pushed himself and his three
children forward to reach Fleming. "If these children are alive.”
He said, "they owe it to you." Then, pointing to Fleming, he told
his children, "Never forget to ask God in your prayer to bless
this man.”
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But Fleming protested that such gratitude was not due to him.
“Everywhere | go people thank me for saving their lives," he
said, "| don't know why they do it’! didn't do anything; Nature
makes penicillin. | just found it." It was not just modesty that
made him say this. It was a restatement of his belief in the
healing power of Nature. He protested vigorously against the
idea that penicillin was a man-made invention. ‘| have been
accused of inventing penicillin, but no man could have done
that. Nature, in the form of a lowly vegetable, has been making
it for thousands of years. | only discovered it." And always he
insisted that he discovered it by chance.
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“Happy is he who already belonged to history in his own
life-time," said Lord Moran, referring to Fleming, but Fleming
was not happy in the limelight. "| am a simple bacteriologist,”
he said; and as soon as he could slip away he went back to his
laboratory at St. Mary's and got back to work.
The Americans visited the laboratory and were amazed. One
said it was "like the backroom of an old-fashioned drug store.”
He found it hard to believe that penicillin could have been
discovered there. Fleming laughed, and in Detroit, where he
was shown over the last word in research laboratories—a
gleaming, dustless, air-conditioned, sterilized sanctum—he
shocked his hosts by saying, "Wonderful, but penicillin could
never have been discovered in a lab like this." When they saw
the point they could not deny it: Their culture plates were never
contaminated, for the air wae too pure: there was no way in for
spores of acommon mould. 1
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Fleming's achievement was not only the discovery of penicillin.
As the Surgeon-General of the United States Forces said,
“Fleming, like Pasteur, has opened up a whole new world of
science." He founded the antibiotic—that is, growth inhibiting
treatment of disease. He provoked others to seek new
antibiotics, and all research-workers to be on the lookout for.
them, particularly in moulds and fungi; and out of these
researches, which but for Fleming would not have been started
came new drugs, made by nature and at last discovered by
man, of which the best known at present is streptomycin.
Fleming himself regarded this as the most important result of
his work. Even before penicillin was in general use, he said,
“The greatest benefit penicillin has conferred is not to the drug
itself but the fact that its discovery has stimulated new research
to find something better.”
Sir Alexander Fleming died in 1955 at the age of seventy-three.
His work will never die.
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Q1: What are antiseptics and what is the antiseptic
method?
Ans: Antiseptics are chemical that kills germs. Antiseptic
metbed is a method in which antiseptic chemicals are used to
free tools from germs. Mostly there antiseptics are use to wash
medical fools to prevent the germs getting into the body of
patients.
Q2: What was the chief defect of antiseptic method?
Ans: The chief defect of antiseptic method was that it killed
the germs and also destroyed the body cells, called leucocytes
which fight against disease. Antiseptics killed these resistive
body cells which was not a good thing for the patient.
Q3: What part is played by the white cells in the
blood of a human body?
Ans: The white cells are also called leucocytes. They protect
the body form the attack of diseases. They are the natural
armour against germs which attack the body. The disease is
basically a fight between leucocytes and the attacking germs.
Q4: Give an account of the early life of Fleming.
Ans: Alexander Fleming was born on a farm near Darvel, in
Ayrshire, on August 6, 1881. He was the youngest of a family
of eight. His father died when he was seven years old, and his
eldest brother, Hugh, took over the management of the farm.
Alexander was then still going to the village school. At ten he
went to. Darvel School, and stayed till he was twelve. That was
the age-limit. The question was then discussed whether he
should continue his education or go back to the land. It was
decided to keep him at school, and he went to Kilmarnock
Academy. At fourteen he went to London, and for the next two
years he studied at the Regent Street Polytechnic.
Q5: Describe how Fleming discovered penicillin.
Ans: Fleming was growing colonies of germs on cultural
plates spread with agar. Plates were covered, but when he
uncovered one of them, a piece of fungus came flying from
somewhere and dropped on the plate. It began to grow, andthe microbes (germs) round it began to disappear. It was a new
discovery which killed germs. He called it penicillin.
Q6: In what respect is penicillin better than the
chemical antiseptics?
Ans: Other antiseptics including carbolic acid killed
leucocytes with the white cells of the body along germs. On the
other hand penicillin killed germs only and did not harm
leucocytes or white cells of the body. These white cells defend
body against disease.
Q7: What do you know of the Oxford team?
Ans: The Oxford team included trained chemists as well as
bacteriologists, and had all the equipment that Fleming had
lacked; yet it was a long, hard struggle before they succeeded
in producing a practical concentration of penicillin. The first
human cases were treated in 1941, and the problem then
became a matter of production. One of the Oxford team went to
America, where new methods of manufacturing were
discovered, and in 1943 penicillin reached the Eighth Army in
Egypt. In the words of Viscount Montgomery of Alamein, "The
healing of war wounds was revolutionized." Penicillin arrived
just in time to save countless lives. It was easily the strongest
weapon yet forged in the fight against disease.
Q8: How did they make penicillin more effective?
Ans: In its crude from, penicillin was unstable and could not
be used for treatment. Fleming could not produce medicine
with the help of penicillin because he had no necessary
equipments for this purpose The oxfor+ team went to America,
where they discovered new met!.uds to ”.ake penicillin more
effective.
Q9: Write a note on penicillin as a wonder drug.
Ans: Penicillin was hailed a wonder drug. The healing of
wounds was revolutionized. It proved the strongest weapon
against the germs. It helped the doctors to save wounds from
germs without harming the useful cells (white cells or
leucocytes) of the body.
Q10: Was Fleming proud of his discovery?
Ans: Fleming protested that such gratitude was ‘not due to
him. "Everywhere | go people thank me for saving their lives,"
he said, “| don't know why they do it. | didn't do anything;
Nature makes penicillin. | just found it." It was not just modesty
that made him say this. It was a restatement of his belief in thehealing power of Nature. He protested vigorously against the
idea that penicillin was a man-made invention. 'l have been
accused of inventing penicillin, but no man could have done
that. Nature, in the form of a lowly vegetable, has been making
it for thousands of years. | only discovered it." And.always he
insisted that he discovered it by chance.
Q11: Why couldn't penicillin have been discovered in
the research laboratories of America?
Ans: The Americans visited the laboratory and were amazed.
One said it was “like the backroom of an old-fashioned drug
store." He found it hard to believe that penicillin could have
been discovered there. Fleming laughed, and in Detroit, where
he was shown over the last word in research laboratories—a
gleaming, dustless, air-conditioned, sterilized sanctum—he
shocked his hosts by saying, “Wonderful, but penicillin could
never have been discovered in a lab like this." When they saw
the point they could not deny it. Their culture plates were never
contaminated, for the air was too pure: there was no way in for
spores of a common mould.
Q12: Fleming's achievement paved the way for other
discoveries in the medical field. What are they?
Ans: Fleming's achievement was not only the discovery of
penicillin. As the Surgeon-General of the United States Forces
said, "Fleming, like Pasteur, has opened up a whole new world
of science." He founded the antibiotic—that is, growth inhibiting
treatment of disease. He provoked others to seek new
antibiotics, and all research-workers to be on the lookout for
-them, particularly in moulds and fungi; and out of these
researches, which but for Fleming would not have been started
came new drugs, made by nature and at last discovered by
man, of which the best known at present is streptomycin.
Fleming himself regarded this as the most important result of
his work. Even before penicillin was in. generat use, he said,
"The greatest benefit penicillin has conferred is not to the drug
itself but the fact that its discovery has stimulated new research
to find something better.ice Questions
Multiple C
1, Who discovered germs?
A. Fleming B. Pasteur
C. Metchnikoff D. Lister zi
2. Alexander's brother was an Qculist. The underlined word
means
A. Physician B. Cardiologist
C. Optician D. Dentist ?
3. A mould spore dropped on the plate. The underlined
phrase can b replaced by which word?
A. Apiece of string B. A piece of cotton
C. Fungus D. A dust particle
4. Choose the correct spelling.
A. Vacsine B. Vaccine
C. Vacsinne D. Vaccinne
5. The man waited till the night came. The underlined part is
a/an
A. Main clause B. Subordinate douse
C. Relative clause D. Complement
6. My uncle, a businessman, lives in Karachi. The underlined
part is a/an
A. Main clause B. Subordinate clause
C. Appositive phrase D. Appositive clause
7. Zeeshan bought Hina a_bunch of flower. The underlined
part is a/an
A. Direct object B. Indirect object
C. Complement D. Relative clause
Answers:
[2.¢ [3.c [4.8 .[5.B [6.C]7.A_ |