History of medical practice in Illinois - Bushnell Historical Society

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1 94 History of Medical Practice in Illinoisthe Vagina." When a patient so operated developed bowel obstruction tendays after vaginal hysterectomy with clamps, he put his hand up into theabdominal cavity via the vagina, got hold of the distended and obstructedloop of bowel which he pulled down into the vagina, and there put in aMurphy button. Gas and feces were passed on the second day through therectum. Later a fecal fistula developed per vaginam but this slowly healedand closed. The Murphy button was passed by rectum and the patientrecovered."Iodoform Injection Treatment of Hip Joint Disease" was presented byDr. Alexander Hugh Ferguson of Chicago. He recommended from 120 injections, and disagreed with the use of the Thomas splint immobilization."Cholelithiasis, a Plea for Operative Treatment" was the next paper,read by Dr. E. Mammen of Bloomington. He quoted Senn as saying: "Theremoval of calculi from the gallbladder can now be accomplished withvery little danger to life. The simple fact that a patient is suffering fromgall stones does not furnish a positive indication for surgical interference.The physician's and nature's resources should be given a chance, and thesurgeon's services should be limited to those cases in which positive indicationsfor treatment present themselves. The surgeon who recorded the firstsuccessful case of cholecystectomy has since become the victim of gallstones, but instead of calling upon one of his colleagues to open the gallbladderand remove the stones, he made a pilgrimage to Carlsbad and waspromptly relieved." Whether relief was permanent or not was not stated!Dr. Mammen outlined the indications for cholecystectomy, and reported acholecystoduodenostomy using a Murphy button upon finding a stonelodged in the common duct. The button passed on thediscussion Dr. Ferguson said:to17th day. In the"Cholelithiasis has become a surgical subject.No medication does it any good." He spoke of the dangers of the useof the Murphy button and of the possibility of removing a common ductstone through the bowel and ampulla of Vater."Metatarsalgia" was presented by Dr. A. E. Halstead of Chicago. Headvised resection of the nerves in chronic cases, recording three of his own.This operation has recently been reported as "new.""Surgery of the Gasserian Ganglion with Demonstrations" was given byDr. J.B. Murphy of Chicago who advised an intracranial operation.1897An address was given by Dr. Weller Van Hook ofChicago on "ThePresent Relation of Surgery to Internal Medicine." He pointed out thatanatomy gave a dignified basis for surgery. He also spoke of the recentadvance of anesthesia and of the knowledge gained from cellular pathol-
General Surgery 195ogy. He mentioned that appendicitis was still a bone of contention betweenmedicine and surgery, as was also intestinal obstruction andcholelithiasis. Hernia had now become a purely surgical problem. Hementioned the value of spinal puncture and finally of x-rays— their firstappearance in our reports. The value of Marmorek's serum for streptococcusinfection was considered. In a later discussion Dr. James B. Herrickspoke of the value of venesection in some instances of arteriosclerosis andthe overloaded heart. Dr. Robert H. Babcock discussed coronary sclerosis.Gastrostomy after esophageal burns by lye was the subject of a paperby Dr. J. A. Haughman of Neoga, who said the operation had been performedby Sedillot 48 years before but that the first successful case wasperformed by Dr. Sidney Jones of England in 1874. Haughman had performeda von Hacker gastrostomy and opened the stomach by a cauteryknife three days after sewing the stomach wall toDr. Jacob Frank followed with athe peritoneum.paper on "Intestinal Anastomosis,"using Senn's decalcified bone plates for anastomosis. These bone collarshad six needle hole perforations at the apex of the shoulder. He describeda successful gastroenterostomy with this collar performed by Dr. McCandlessof St. Louis on March 16, 1897. The collar had been carved out of asound compact bone from the hind foot of a 4-year old ox and was decalcifiedin 10 per cent hydrochloric acid. Frank noted that whittled potatoesand carrots had been used in past years, and he reiterated the factthat a French surgeon had brought out the idea of pressure necrosis, laterused to advantage in the Murphy button technic.Dr. John E. Owens of Chicago spoke of the use of toxins in the treatmentof sarcoma, particularly inoperable cases, and referred to the serum madeand used by Dr. William B. Coley of New York, first employed in April,1891. He cited a case reputedly so cured. Dr. A. E. Halstead said that hehad seen the microscopic sections of that case and that it was a giant cellsarcoma. Dr. Halstead had treated three patients thus and all died withinthree or four months, and he said rightly that "the improvement to benoted with the treatment of sarcoma with toxins is largely due to error inthe diagnosis."Dr. J.B. Murphy read a paper "On End to End Suture of Large Vessels,"in which he said that arteries could be united and the blood current continuedthrough them (in the dog). He overlapped and then sutured thearterial ends. The greatest difficultyin getting a good result was thrombosis.He had sutured both the femoral and axillary arteries, but not theaorta.Dr. A. E.Halstead reported on "Nonmalignant Strictures of the Rectum,"employing linear proctotomy followed by dilatation and/or colostomy.Dr. Carl E. Black reported on "Infiltration Anesthesia," using
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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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Histo-rx of Medical Practice in Ill
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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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