13.07.2015 Views

History of medical practice in Illinois - Bushnell Historical Society

History of medical practice in Illinois - Bushnell Historical Society

History of medical practice in Illinois - Bushnell Historical Society

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

CHAPTER VTHE RISE OF MEDICAL SPECIALISMBy DAVID J.DAVIS, M.D.THEmost characteristic feature <strong>of</strong> medic<strong>in</strong>e <strong>in</strong> Ill<strong>in</strong>ois dur<strong>in</strong>g theperiod 1850 to 1900 was the gradual rise and evolution <strong>of</strong> the modernspecialties. The ma<strong>in</strong> reason for this emergence was the progress that wasoccurr<strong>in</strong>g at that time <strong>in</strong> the basic sciences throughout the western world.Technologic methods, discovered and used <strong>in</strong> cl<strong>in</strong>ics and laboratories, werebrought to bear upon the solution <strong>of</strong> the problems <strong>of</strong> disease <strong>in</strong> a multiplicity<strong>of</strong> ways. These advances, as they were applied dur<strong>in</strong>g this halfcentury, were to change fundamentally the <strong>practice</strong> <strong>of</strong> medic<strong>in</strong>e <strong>in</strong> itsevery respect.It is largely on this account that the plan <strong>of</strong> approach <strong>in</strong> this secondvolume <strong>of</strong> "The <strong>History</strong> <strong>of</strong> Medical Practice <strong>in</strong> Ill<strong>in</strong>ois" is altogether differentfrom that <strong>of</strong> Volume I. There was related chiefly what the doctor did<strong>in</strong> his daily work among his patients as they came to him and he went tothem. As their ailments were presented to him, he did the best he couldwith little or no regard to specialization. With differential diagnosis <strong>in</strong> its<strong>in</strong>fancy, it was <strong>in</strong>evitable that many different diseases with a few symptoms<strong>in</strong> common, fevers for example, were grouped together and all were giventhe same treatment, regardless <strong>of</strong> their true nature.Furthermore, Volume I <strong>of</strong> this series is based largely on an orderly regionalor county plan, with both the physicians and the people <strong>in</strong> thevarious communities tell<strong>in</strong>g <strong>in</strong> a general way and by personal accountswhat had transpired <strong>in</strong> medic<strong>in</strong>e. The entire state <strong>in</strong> this way was fairlyadequately covered. Little variation existed <strong>in</strong> the experiences which resultedfrom differences <strong>in</strong> disease distribution <strong>in</strong> various parts <strong>of</strong> the state.Fevers, especially malaria, were common, as were tuberculosis, contagiousdiseases, diarrheas, dysentery, cancer, pneumonias, bronchial troubles,wounds, local <strong>in</strong>fections, abscesses,<strong>in</strong>juries <strong>of</strong> many k<strong>in</strong>ds but especiallyfractures, complications <strong>of</strong> childbirth, and diseases <strong>of</strong> the eye, ear, throatand sk<strong>in</strong>. Poison<strong>in</strong>gs by snake bite, poison ivy, white snake root (milksickness) and a few other conditions were less common. Any or all <strong>of</strong> theabove afflictions could appear <strong>in</strong> a busy doctor's <strong>of</strong>fice almost any day, requir<strong>in</strong>gand usually receiv<strong>in</strong>g prompt personal attention from the doctorhimself. At that time the pr<strong>of</strong>ession <strong>in</strong>cluded the greatly revered familyphysicians, who as general practitioners, rendered an <strong>in</strong>dispensable service9i

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!