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History of medical practice in Illinois - Bushnell Historical Society

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188 <strong>History</strong> <strong>of</strong> Medical Practice <strong>in</strong> Ill<strong>in</strong>oisA paper on obstruction <strong>of</strong> the bowel was given by Dr. W. H. Veatch <strong>of</strong>Carthage. He listed 12 causes, and mentioned the fact that several Americanand English surgeons had adopted a policy <strong>of</strong> watchful expectancy us<strong>in</strong>genemata, belladonna, warm olive oil and even mercury <strong>in</strong>to the rectum.1886There were discussions on tubal pregnancy, litholapaxy (Dr. EdmundAndrews), and rabies and its treatment by the Pasteur method. The uncerta<strong>in</strong>tyand <strong>in</strong>efficiency <strong>of</strong> the "mad stone" and its application wereexposed. Some <strong>of</strong> Pasteur's statements were seriously questioned.1887In open<strong>in</strong>g the discussions <strong>of</strong> the meet<strong>in</strong>g, Dr. E. P. Cook put thesequestions: "In what proportion <strong>of</strong> our cases <strong>of</strong> carc<strong>in</strong>oma <strong>of</strong> the stomachshould we resort to resection"; "how to locate abscesses <strong>of</strong> the bra<strong>in</strong>"; "howcan we destroy bacteria without destroy<strong>in</strong>g the unfortunate one <strong>in</strong>fectedwith them?"Dr. D. A. K. Steele made the report for the Committee on Surgery. Hesaid that progress <strong>in</strong> surgery was rapid and that an answer to Dr. Cook'squeries would be like try<strong>in</strong>g to give the history <strong>of</strong> the world <strong>in</strong> ten m<strong>in</strong>utes.He spoke <strong>of</strong> Dr. Block <strong>of</strong> Qu<strong>in</strong>cy who, after many experimental pneumonectomieson animals, was so chagr<strong>in</strong>ed at the death <strong>of</strong> a female relative(his first human patient) upon whose lung he performed an apical resectionthat after a medicolegal <strong>in</strong>quiry and criticism, he committed suicide! Dr.Steele also spoke <strong>of</strong> some <strong>of</strong> the year's publications: Wyeth's "Textbook onSurgery"; the Transactions <strong>of</strong> the American Surgical Association which<strong>in</strong>cluded Senn's article on "Surgery <strong>of</strong> the Pancreas," and Ashhurst's"International Encyclopedia <strong>of</strong> Surgery." He said that the Annals <strong>of</strong>Surgery ma<strong>in</strong>ta<strong>in</strong>ed its supremacy as the only journal <strong>in</strong> the English languagewhich was devoted primarily to surgery. He spoke <strong>of</strong> coca<strong>in</strong>e as a localanesthetic, and <strong>of</strong> surgical pathology as a real advance <strong>in</strong> surgical science,giv<strong>in</strong>g credit to such Chicago men as Fenger, Senn, Curtis, Belfield,Ochsner, Bill<strong>in</strong>gs and others. He mentioned fungi, cocci, schizomycetes,act<strong>in</strong>omyces, and anthrax, and discussed osteomyelitis, pyemia, erysipelas,tuberculosis and "white thrombus" <strong>in</strong> blood vessels. Also <strong>in</strong>cluded wasdiscussion on antiseptics <strong>in</strong> surgery and the nature <strong>of</strong> pus. The cleans<strong>in</strong>g<strong>of</strong> hands was stressed as the most vital po<strong>in</strong>t <strong>in</strong> the <strong>practice</strong> <strong>of</strong> antisepticsurgery, with the additional comment that all surgical <strong>in</strong>struments shouldbe made <strong>of</strong> a s<strong>in</strong>gle solid piece <strong>of</strong> metal. He reviewed the antiseptics <strong>of</strong> theday, and then quoted from Parkes's article <strong>in</strong> the Annals <strong>of</strong> Surgery onpneumonectomy and thoracoplasty with their <strong>in</strong>dications also on neph-

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