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History of medical practice in Illinois - Bushnell Historical Society

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CHAPTER IINTRODUCTIONBy DAVID J.DAVIS, M.D.OVERa century ago Drakexpublishedhis monumental work on diseases<strong>of</strong> the Mississippi Valley. This was issued after years <strong>of</strong> traveland research, <strong>in</strong>clud<strong>in</strong>g extensive correspondence with physicians andother well-<strong>in</strong>formed persons liv<strong>in</strong>g <strong>in</strong> this region. His observations covereda wide variety <strong>of</strong> subjects related to health and disease:climate, weather,ra<strong>in</strong>fall, temperature, fauna, flora, geology, soil, lakes, rivers, hills, valleys,swamps, forests, topography, w<strong>in</strong>ds, etc. He also <strong>in</strong>cluded a discussion <strong>of</strong> theraces liv<strong>in</strong>g <strong>in</strong> the region and the relations <strong>of</strong> the above factors to them.These extensive data concerned chiefly the <strong>in</strong>fectious diseases as theywere known <strong>in</strong> the years 1840 to 1850. Much <strong>of</strong> the country was then primitive.Also identification <strong>of</strong> many diseases was def<strong>in</strong>itely limited from lack<strong>of</strong> <strong>medical</strong> knowledge, especially <strong>of</strong> methods <strong>of</strong> diagnosis. Drake's observations,however, have been <strong>of</strong> great value historically and from the standpo<strong>in</strong>t<strong>of</strong> <strong>medical</strong> geography. His early data, especially on fevers, <strong>in</strong>test<strong>in</strong>aldisease, pulmonary afflictions, cholera and milk sickness, deserve commendation.In Ill<strong>in</strong>ois he traversed wide areas at the very time when manysuch afflictions reached their highest prevalence and when the Ill<strong>in</strong>oisCountry was known widely as a "land <strong>of</strong> pestilence." He commented <strong>in</strong> detailon regions adjacent to the Kaskaskia, Ill<strong>in</strong>ois, Kankakee and RockRivers and the Lake Michigan Bas<strong>in</strong>. He described the regional forests,especially along the river valleys, and their relation to the "Grand Prairie"which he said was the most extensive open prairie land east <strong>of</strong> the MississippiRiver. Comment was also made on the <strong>in</strong>cidence <strong>of</strong> the autumnalfevers (malaria) <strong>in</strong> the various localities as reported to him by the manypioneer physicians he consulted along the way. His remarks about theChicago region and the topographical data given by him at that early dateare most <strong>in</strong>trigu<strong>in</strong>g.Drake's writ<strong>in</strong>gs,the most comprehensive and authoritative contributionsto the practical medic<strong>in</strong>e <strong>of</strong> the Central West, were made just at thebeg<strong>in</strong>n<strong>in</strong>g <strong>of</strong> the period covered by this Volume, 1850 to 1900. In addition,his <strong>in</strong>terest<strong>in</strong>g and <strong>in</strong>formative data and op<strong>in</strong>ions on such subjects as lodgxDrake, Daniel: A Systematic Treatise <strong>Historical</strong>, Etiological and Practical on thePr<strong>in</strong>cipal Diseases <strong>of</strong> the Interior Valley <strong>of</strong> North America. Book I, 1850, C<strong>in</strong>c<strong>in</strong>nati,W. B. Smith & Co.; Book II, 1854, Philadelphia, Lipp<strong>in</strong>cott, Grambo & Co.3

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