History of medical practice in Illinois - Bushnell Historical Society

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176 History of Medical Practice in Illinoisto ascertain the length of time blood retained itsnutrient and vivifyingqualities, and Dr. Freer stated that he even used some blood kept in therefrigerator 48 hours with successful revival of a bled-out dog. He advancedthe idea of saving blood for future use, and the use of animal as well ashuman blood. This may well represent the birth of the Blood Bank inIllinois.Dr. John N. Niglas of Peoria discussed congenital and strangulatedhernia, its pathology and indications for operation. He talked of exercisesand trusses for children. The discussants brought out the question of openingthe sac at operation, fearing strangulated bowel or infection. Dr. J.B.Hamilton said he had used many kinds of trusses but had never known ofa cure of hernia resulting from their use.A report was given on leg shortening after fractures, including the legalrelations of the subject. Dr. W. P. Peirce of Lemont stressed the importanceof diagnosis in all cases. He advised against waiting for the swelling andinflammation to subside, urging that the fracture be restored as soon aspossible to the most accurate position of fragments and then retained inplace until union was complete. Dr. Freer stressed again the fact that a limbcould not be expected to become perfect and that prognosis should beguarded. He warned of the powerful muscles of the thigh pulling againstthe splint, and pointed out that people expected too much of the surgeon.He praised Hamilton for exposing the imperfection of some treatmentsbeing advocated at that time, and said that the Illinois statutes containedno clear laws bearing on the doctor's liability; only ordinary care and judgmentwere demanded.The use of a vaginal bivalve speculum and vaginal retractors was introducedat this meeting.1876There was discussionon bloodletting and an almost unanimous approvalof the practice. A paper on "Contributory Negligence" was read byDr. M. A. McClelland of Knoxville.Dr. Moses Gunn, Chairman of the Committee on Surgery, reported thatthe committee was attempting to get a clearer vision of progress in physiologyand pathology as related to surgery. There was discussion of completeextirpation of the os calcis and its regeneration, if periosteum were leftbehind. This treatment was applied to comminuted fractures and possiblyinfected wounds of the heel. Malgaigne's hooks and adhesive strapping forfracture of the patella were mentioned.The next subject was chronic enlargement of the prostate for whichsuprapubic drainage of the bladder was used, leaving in a long tube in aneffort to establish a permanent urinary fistula.A 45-degree elevation of the foot of the bed was advised to reduce hernia.
General Surgery 177Dr. Gahn, a chemist in Upsala, Sweden, recently had advised the use ofboric acid as a new antiseptic, as already tried by Lister. Employing largecompression dressings, boric lint had been applied to burns and foundbetter than carbolated oil.Dr. A. C. Rankin reported on morbus coxarius, the method of continuedelastic traction devised by Davis of New York being used.1877Dr. T. D. Fitch reported that he had discovered the structure of bloodcorpuscles and had demonstrated it to English and Scotch doctors in 1868.Dr. Freer died at this time from meningitis following undue exposurein the cold anatomy laboratory while teaching.Dr. E. Fletcher Ingals reported on an improved method of performing aradical operation for empyema thoracis.Dr. G. L. White as President said:1878"In a country like ours where all arestriving after the almighty dollar, and especially in times of financialtrouble such as we are now passing through, we find a large class of personswith overtaxed brains suffering from a great variety of ailments symptomaticof nervous prostration." He also quoted Dr. L. Yandell, Jr., who said:"It is my belief that from the sick, and not from the laboratory, from experimentaltherapeutics and not from the microscope, our practical knowledgeis to come." Dr. White continued: "To this I cannot give my entireassent, but it has in it a great deal of truth." There w r as evidently stillsome block to progress by early scientific methods.Tarnier's forceps for obstetrical use were described. Dr. D. W. Graham ofChicago was then editor of the Medical Register.An Act to regulate the practice of Medicine in Illinois had been passedby the State Legislature in 1877, which also created the State Board ofHealth.Dr. Gunn was again Chairman of the Committee on Surgery,and hereported that there were but few points in the literature of the past yearwhich he was inclined to call to the Society's attention, but he did give areview of the literature. He then reported the investigations of a committeeappointed in 1876 by the Surgical Society of Moscow, and mentioned Newman's(Western Infirmary, Glasgow) instrument for "aortic tourniquet" tosave all the blood possible in amputation at the hip joint. Dr. Gunn personallyhad no use for excision of the knee joint, not from the standpointof any particular method of operation, dressing or after treatment, but"because the section is made through cancellous bone tissue at that pointof the head of the tibia and the condyles of the femur where the bone is
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HISTORY OFMEDICAL PRACTICEIN ILLINO
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PREFACEVARIOUS members of the Illin
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Prefaceixall of its local health de
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PrefacexiDr. E. A. Piszczek, Chicag
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THEEDITOR'S FOREWORDperiod 1850 to
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Editor's Forewordxvand 650 he comme
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xviiiXVIII.XIX.Medical Bacteriology
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CHAPTER IINTRODUCTIONBy DAVID J.DAV
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Introduction 5Smillie 3 wrote on ep
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CHAPTER IIMEDICAL GEOGRAPHY OF ILLI
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Medical Geography of Illinois 9geol
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12 History of Medical Practice in I
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Medical Geography of Illinois 15had
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Medical Geography of Illinois 17of
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Fig. i. Places and regions in Illin
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Medical Geography of Illinois 21ref
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Medical Geography of Illinois 23Cha
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i„r»-l ll'urlnllli• A i!.n»Ut
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CHAPTER IIITHE HARDY PIONEER:HOW HE
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CHAPTER IVORGANIZATION OF THE ILLIN
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CHAPTER VIIINTERNAL MEDICINEBy GEOR
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History of Medical Practice in Illi
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CHAPTER XIIIOTOLARYNGOLOGYBy ALFRED
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CHAPTER XIVDERMATOLOGYBy B.BARKER B
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CHAPTER XVNEUROPSYCHIATRYBy OSCAR H
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CHAPTER XXIVMEDICAL JOURNALISM IN I
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APPENDIXMISCELLANEOUS NOTESAddition
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5ioIndexAntifebrin, 138, 139Antipyr
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5 1 * Index159, 163, 190, 284; Amer
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5HCollege of Medicine, University o
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516 IndexEpidemics, 5, 507Epileptic
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15 i8 IndexHarris, Dr. J. O., 115Ha
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5 2 ° IndexJacobson, Dr. Daniel Si
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522Index456, 457; Privately Endowed
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524IndexParkes, Dr. Charles T., 181
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3526IndexReed, Dr. Carlos I., 403Re
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5 s8 IndexStrong, Dr. R. M., Histor
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