History of medical practice in Illinois - Bushnell Historical Society

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184 History of Medical Practice in Illinoisand serum remaining upon it intact, yet surgically clean because aseptic.On the other hand, the esthetically cleanly water dressing is surgicallydirty, because it contains elements which give rise to septic changes inwounds." This is the first mention found of aseptic surgery; it was knownto our forebears in Illinois in 1881, thanks to Lee and to the report of theLondon Congress. Lee cited his own experience in seeing how antisepticdressings were applied(in London?) and said few were perfectly done. Itis obvious from this statement that there were purists in surgery in Illinoiseven then, and the power of observation led to improved local technic ona critical basis. Lee also said: "Therefore I do not think, today, that Iwould be justified in opening a joint or the thoracic cavity without itsprotection(the spray)."In continuing with his report of the London meeting, Lee reviewedCzerny's paper on the relative value of carbolic acid and iodoform as antisepticagents in which he said: "The history of the surgeons suffering fromcarbolic acid poisoning is yet to be written." He gave the symptoms asheadache, bronchial irritation, languor, loss of appetite, dragging painsin the kidney region, heavy feeling in the legs, nausea, pruritus, insomnia,and an anemic appearing face. Lee had suffered all of these and, hearingof iodoform, he substituted it for carbolic acid. Later, however, the poisonousqualities of iodoform were recognized and reports of its poisoningwere made known.Dr. Lee also reported on sponge grafting on healing surfaces, using decalcifiedsea sponge boiled in carbolic acid asa compression dressing tostimulate epithelial growth. His report also covered MacEwen's (Glasgow)bone grafting in which he used cut up fragments containing all the boneelements. Lee also talked of precancerous conditions of the lip, tongue,penis, etc., and stated that cancer was engrafted on chronic inflammationas after syphilitic leukoma of the lip, tongue, etc. He also cited the case ofa woman operated upon by Dr. Fenger; her entire uterus was filled withcarcinomatous infiltration yet she was well after several months.Dr. E. Wyllys Andrews then spoke of the most eligible antizymotic or"internal antiseptic" to destroy bacteria within living tissues. This hadgenerally been believed to be carbolic acid administered singly or withiodine, bromine, arsenic or ammonia. He said that Declat had used purecarbolic acid internally and claimed that it cured such lesions as carcinomaof the lip, but that he had examined the case and found no real induration.A doctor who had seen the patient before he consulted Declat and beforetreatment, said the lesion was simply a chronic ulcer; hence Andrews wasexposing as false the cure of cancer by phenic acid.
General Surgery 1851883The report on Surgery was given by Dr. John E. Owens of Chicago inwhich he discussed nephrectomy for scrofulous (tuberculous) kidney aspresented at the Clinical Society of London. The 12th rib was excised toremove the kidney and the patient died. Darrah recommended retractionof the rib instead of resection. He spoke of digital exploration of the bladderthrough a perineal incision as practiced by Sir Henry Thompson, andof colectomy suggested by Dr. John Marshall which closely resembled aMikulicz operation of today.Darrah also mentioned wounds of the heart, quoting an article in theLancet /or March 10,1883. It was argued that wounds of the heart shouldhave the same attention as any external wound. The Germans had reporteddeaths in their cases from asphyxia following hemorrhage into the pericardium(Herztamponade). Block had experimented on dogs and rabbitsto show diat wounds of the heart could be successfully sutured. All theanimals survived. By means of a suture through its apex, they pulled onthe heart so strongly that the heart beat and respiration ceased;then thesuture in the wound was quickly placed.Darrah reported on removal of a mediastinal tumor by Kuster of Berlin,and of a transpatellar excision of the knee following a transverse cut acrossthe patella by a saw. The soft parts were turned up and down, the kneelater was sutured with carbolized silk sutures, and primary union ensued.He closed his report by telling of a new method of reducing dislocations ofthe humerus and of the treatment of hydrocele by leaving a bougie insertedin the punctured sac 24 to 30 hours.Dr. Holtin of Smithville reported an instance of dislocation of the rightkidney in a 28-year old woman. He reduced the kidney into normal positionand held it with cotton batting and a steel spring. Later he had threeskeptical colleagues go with him to see the woman; by putting her on herleft side, he could dislocate the kidney and then reduce it. He did this twiceto the delight and satisfaction of his friends and they departed convinced.1884Several voluntary short papers concerned: (1) "Fracture of the GreaterTuberosity of the Humerus with a Case Report" by Dr. F. C. Schaefer ofChicago; (2) "Surgical Treatment of Gangrene of the Lungs" and (3)"Excision of the Hip and Knee Joints" both by Dr. Christian Fenger ofChicago; (4) "General Principles and Treatment of Potts Disease" by Dr.C. E. Webster of Chicago. There was an exhibit of a new suspension splintby Dr. W. P. Verity of Chicago. The Standing Committee on Surgery wasmade up of Drs. Roswell Park, Chicago; David S. Booth, Sparta, and J.D.
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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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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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114 History of Jiledical Practice i
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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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History of medical practice in Illinois - Bushnell Historical Society

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