History of medical practice in Illinois - Bushnell Historical Society

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190 History of Medical Practice in Illinoising bacteriology and its great value to antiseptic surgery; drainage tubesand their harm especially in amputations; the Esmarch bandage, and localanesthesia from either cold or cocaine.Dr. William Barrett of Onarga spoke on anthrax. Dr. A. E. Hoadley ofChicago talked about tubercular joint disease, advising operation as soonas possible.In the discussion of the surgical papers, Dr. A. E. Palmer ofMorris commended antiseptic surgery and stated that all instrumentsshould be rendered as aseptic as possible before use and should have metalhandles, as advised by Dr. Andrews.1890The meeting this year was held in Chicago. 5Dr. John B. Murphy waslisted as a delegate from Cook County Hospital, and Dr. S. C. Plummer asdelegate from Rock Island. Dr. Norman Bridge gave the Address of Welcome.Chicago at this time had approximately 2000 hospital beds, many ofwhich were used for surgical teaching. It was announced at this meetingthat the Newberry Library had plans for a Medical Library Department.There were no laboratories worthy of the name for planned medical researchas yet.Dr. F. C. Schaefer, Professor of Anatomy of Chicago Medical Collegeand Surgeon to Wesley Hospital, was Chairman of the Committee onSurgery. He announced the following topics for discussion, allowing fiveminutes for each: (1) Malignant diseases of the rectum, in which Drs.David Graham, J.E. Owens and Christian Fenger took part; (2) senileprostatic enlargement, discussed by Dr. Edmund Andrews and others; (3)renal calculus, discussed by Drs. Danforth and Jacob Frank; (4) penetratingwounds of the abdomen (including injuries of the ureter as presentedby Dr. R. N. Isham); (5) perityphlitis (appendicitis) discussed by Drs.E. W. Lee, Frank Andrews and J.B. Murphy.Dr. Schaefer stated that antiseptic surgery was an established fact, andspoke of "sterilized lint" for surgical dressings, this being subjected to atemperature of 248°F. He quoted Senn's article on "Treatment of BoneCavities" with decalcified bone as a substitute for Schede's moist blood clotmethod (later known as aseptic blood clot). Senn used ox tibia, decalcifiedin hydrochloric acid. The acid was washed out and the chips were placedin mercuric chloride solution 1:500, sealed in bottles. These chips were5Dr. C. T. Parkes gave a luncheon on Wednesday of the meeting at Kinsley's Restaurant.Your scribe well remembers this restaurant, its excellent food, and its well patronizedtable d'hote dinner for $1.00. There was also a theater party at McVickers Theater fordelegates and members.
used to fillGeneral Surgery 191bone cavities after the sequestrum was properly removed, theperiosteum being closed over the chips. Experiments were reported byDrs. Hopkins and Penrose using bone dowels to pin fractures together;these were said to hold for five or six weeks and then became absorbed.For abdominal surgery, Schaefer referred to the meeting of the BritishMedical Association in August 1889 where Treves discussed typhlitis, alocal form of peritonitis; he advised an incision after the first week of theattack as sufficient for most cases as an encysted abscess was usually foundand there was no danger of opening the peritoneal cavity. This was contraryto Murphy's hard fought contention, and it was the subject of discussionbefore the American Surgical Association. Treves described thetechnic of his operation and referred to the article by Murphy and Lee,saying that perityphlitis vermicularis always belonged tothe province ofsurgery and that two points were proven: (1) perityphlitis is always accompaniedby a pus cavity, and (2) with the present plan of noninterference,the patient was more liable to a return of the disease. Theirstatistics indicated that the mortality rate was greatly reduced by earlyoperation. Murphy operated upon 12 patients with 10 recoveries. Heclaimed that the appendix was uncovered by peritoneum one-eighth of itscircumference (contradicting Treves). "As pus within the base of the appendixaccumulates, it meets the least resistance at the uncovered point,and therefore it frequently ruptures through this point of least resistanceinto the pelvic cellular tissue, making the perityphlitic abscess extraperitoneal."Herniotomy and digital divulsion of the pylorus for cicatricial stenosis(Loreta's operation) were discussed, and a new method was described ofgastrostomy through the thoracic wall through the eighth intercostal space.Gastroenterostomy was the next subject. Four such operations performedby Selenkow of Russia were discussed, these making a total of 35 knowncases up to that time. The operation was considered useful in prolonginglife in carcinoma of the stomach and in incurable pyloric stenosis. The needto determine exactly the fossa of Treitz (plica duodenojejunalis) to identifythe beginning jejunum was stressed.For perforating wounds of the abdomen, Senn's method of diagnosis forruptured intestine by inflation with hydrogen gas administered via therectum was presented; the method was not received favorably. Discussionson nephrolithotomy and malignant disease of the rectum followed. At thistime some surgeons were excising the rectum and were discontinuing theuse of Kraske's posterior operation. The advantages of colostomy wereadvanced, but it was admitted that the operative mortality of these rectaland colon operations was very high.
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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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