History of medical practice in Illinois - Bushnell Historical Society

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178 History of Medical Practice in Illinoisthe largest and disfavors rapid repair (what a wrong conclusion!) andfavors absorption of septic fluid." So much were these early surgeonshandicapped by the ever-present and unfailing wound infection!Dr. Gunn then reported on Dr. Henry H. Martin'sof an elastic bandage for conditions other than hemostasis(Massachusetts) use(Martin bandage),and the observation by Dr. Wright of Brooklyn of different length oflegs in a high percentage of measurements was reported. Also Bigelow'srecent report of eight cases of lithotrity under ether, at one sitting bothcrushing and evacuating bladder stones, was described, including a similarcase of Gunn's.Dr. Edmund Andrews and Dr. David Prince spoke of their belief inantiseptic treatment of wounds; also of the dry scab which formed onaerated wounds and acted as a barrier to bacteria, "causing restraint oftheir propagation because there was no moisture." The fact was also mentionedthat the agency of putrefaction might resist chemicals such as carbolicacid, but it could not resistrepeated boiling. Immersion of the operatedpart under water to keep the putrefactive agency away was suggested, aswell as laparotomy under water at 110with salt and salicylic acid added.Dr. Prince reported a gunshot wound of the forearm which had been keptimmersed four months, using 1 gram of carbolic acid and a little salicylicacid to the ounce of water, without any odor or decomposition developingat any time. The water was changed once a day and kept warm by a lamp.Dr. Gill, in discussion, said: "In the latter part of the war, surgeons foundthat when they could have the patients placed so as to be surrounded by apure atmosphere and the secretions in the wound kept free and not pentup, they recovered. It was for that reason and not that the bacteria werecarried away, not that pus itself was poisonous, nobody supposed that, butif that pus should be allowed to remain in contact with an open wound orwas pent up, then fermentation and decomposition followed, whether thepoison was chemical, vegetable or animal." We can thus understand howdifficult it was to win the fight against sepsis and the old fashioned ideasof putrefaction.1879The Report on Surgery by Dr. John E. Owens included the treatmentof fracture of the femur. Dr. Sarah Hackett Stevenson of Chicago read apaper on disorders of the sympathetic nervous system. There was also adiscussion on the introduction of the metric system in medicine in Illinois.Dr. Owens's report also concerned the following:1. Radical cure of hemorrhoids for which injection with equal parts ofcarbolic acid, glycerine and water was advised, 10 drops into each hemorrhoid.They feared peritonitis and embolism.2. The treatment of boils with arnica was described according to Dr.
General Surgery 179Planat of Lyons. This was assured as a cure in all cases except those accompaniedby diabetes. This observation indicated as early as 1879 thatinfections were difficult to control in that disease.3. Dr. Bull's method (Chambers Street Hospital, New York) of controllingdislocation of the acromial end of the clavicle by means of a papercompress held by adhesive tape was discussed.as late as 1910.)(This method was practiced4. Operative cure of epithelial carcinoma of the larynx and esophagusaccording to von Langenbeck's method, using chloroform and a low tra< heotomywas described. The anesthetic was really an intratracheal one giventhrough the tube and may have been the earliest tubal anesthesia in Illinois.5. The removal of carcinoma of the tonsil by external incision was reportedby Dr. Cheever of Boston in which hemorrhage was controlled bythe use of ice and ligatures.6. Left lumbar colostomy for relief of bowel obstruction as performedby Drs. Cutter and Homan of Boston was discussed.7. Operations were advised on the inverted head to avoid flooding thetrachea with blood (aspiration pneumonia).8. Many advantages were attributed to the use of thymol as a new antisepticagent; von Volkmann had used it freely.9. Treatment of nevus by compression pins was described.10. Dupuytren's contraction was reported curable by subcutaneous dissectionof the palmar fascia with immediate straightening out of the flexedfingers by means of splints left on four days; the dressing on the hand thenleft in situ for two or three weeks. This method was lost sight of and onlyrecently revived, but without credit to former surgeons.The surgical pathology of peripheral nerves was Dr. Owens's next subject.More frequent nerve suture was advocated, quoting Bluck of Berlin.Wheelhouse's case of recovery nine months after nerve severance was reported;the bulbous ends of the nerve had been cut off and the two nerveends were sutured with carbolized catgut. The man recovered and walkedwell.The irregularity of length of normal limbs and a report on an importantsuit for malpractice was given. Dr. Andrews, in discussion, said that 20years before, in the dissection room at the University of Michigan he haddemonstrated frequent disparity in the length of limbs. Dr. C. Truesdale ofRock Island reported on fractures of the femur in which he quoted a resolutionadopted by the Surgical Section of the American Medical Associationin instances of fractures of long bones. Shortening was the rule regardlessof any methods of treatment used. Dr. Truesdale considered thatshortening was caused by reflex contraction of muscles of the thigh onaccount of pain, plus the loss of bony continuity. The following rules were
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HISTORY OFMEDICAL PRACTICEIN ILLINO
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i3 Zvibxxtt to Br. 30. 3L ©abteTHI
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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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530IndexWright, Mrs. Edward, 479Wri
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