Series VI: Medical Sciences – SUPPLEMENT ... - Krongres

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PHILIPPE ALBOU: Ambroise Paré’s broken left leg in 1555 87 Medical treatment After being transported home, he was treated as follows: − bleeding in the left basilica vein − applying ointment (Onguent rosat) − light diet with prunes and bread, with water; − few mild purgatives as cassia or rhubarb, and suppositories or soap "to stimulate my abdomen." The evolution was complicated by two problems: − muscle cramp, so violent that the bones moved and had to be again pull to replace the leg in the good way… while he said feeling "more pain than first time " − fever on the 11th day, which lasted a week, with the appearance of an abscess on which a patch was applied to help evacuate. Prevention of bedsores The main Ambroise Paré’s thinking was to avoid pressure sores, especially in the sacrum and heel "because in these places there is little flesh." Techniques used for the prevention of bedsores: − regular elevation of the heel or lift from the bed by pulling on a rope attached to the foot of his bed, to “give breath to support zones” ; − use of a pillow under the buttocks and also under the heel; − application of plasters, ointment or cooked alum to "take out the bone fragments separated" and promote "the generation of callus" Albou’s figure Ambroise Pare’s invention of a notched splint Pare noted that he invented, after his own experience, “cassole de fer blanc”, or splint, notched heel so that it does not touch the bed. Paré’s figure (Copyright BIUM) Epilogue Let Paré concluded himself that episode: "I waited over three months that the callus is done. During this time, I lay in my bed, which is not agreeable to a sad sick. It took another month to put my feet on the ground without my cane... My good
88 Bulletin of the Transilvania University of Bra�ov • Vol. 2 (51) - 2009 • Series VI leg was helping the injured leg, as does a sister’s hand or a friend’s arm, helping to lift, turning in one direction or the other... . Conclusion Beyond its biographical and anecdotic interest, this observation informs us about various aspects of the surgical practice of this time. It illustrates also Georges Canguilhem’s reflection: “The doctor have to know that he is a potential patient and he is not better assured than his patients to succeed, if necessary, to substitute its knowledge for its anguish”. References [1]. Ambroise Paré, Œuvres, divisées en vingt-sept livres, revus et augmentés par l’auteur pour la seconde édition. A Paris, chez Gabriel Buon, 1579 (disponible sur www.gallica.fr) [2]. Georges Canguilhem, Puissance et limites de la rationalité en Médecine (1978), in « Etudes d’histoire et de philosophie des sciences », Vrin, Paris, 2002, p. 409.
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Series VI: Medical Sciences – SUPPLEMENT ... - Krongres

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