History of medical practice in Illinois - Bushnell Historical Society

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298 History of Medical Practice in IllinoisTrans, of the 111. State Med. Soc), which he devised that was "self-illuminating,not requiring the aid of a hand or forehead mirror." The instrumentalso had a bulb attachment which could provide passive movements of thedrum. In the same article Bishop presented an improved tonsillotomewhich "reduces the painfulness of the operation by one-half; it divests theprocedure of any danger of an accident to the operator or patient; it makesa skillful and easy operation possible with a minimum amount of experience."In addition he presented a self-retaining nasal speculum made ofspring-wire.On page 206 of the Transactions for 1888, Ingals was listed as Professorof Laryngology, Rush Medical College, and Professor of Diseases of theThroat and Chest, Woman's Medical College, Chicago, when he reportedon "Chronic Rheumatic Laryngitis,Throat."or Chronic Rheumatic SoreDr. R. J. Mitchell, of Girard, Illinois, reported 21 cases of diphtheriawith recovery. (Trans. 111. State Med. Soc, 1888, p. 31 1.) He said there hadoccurred no death among his patients in ten years on the following treatment:quinine grains 30, hydrochloric acid drops 30 to 1 ounce of watersprayed in every 2 hours; tincture ferric chloride and quinine internally,followed by alcohol 1-6 or whiskey 1-3 and water ad lib!!Dr. Ingals wrote of using a double tapered bougie tip for stricture ofthe esophagus. (Trans. 111. State Med. Soc, 1890, p. 318.) He gave an unfavorableprognosis in strictures from burns, scalds, chemical causes andmalignancy.In the last decade of the 19th century, electricity, which was to play sucha prominent role in the instrumentarium of the otolaryngologist, had notmade itself felt. The time can best be identified by quoting from the descriptionof examining technic in the book by Horace F. Joins(Diseases ofthe Nose and Throat, A Text-Book for Students and Practitioners, F. A.Davis Co., Publishers, Philadelphia, 1893), "F°r purposes of illuminationordinary daylight can be utilized, but, as this is usually too diffused, it isbetter to make use of the sun's rays or some form of artificial light. Gaslightfurnished by an Argand burner is mostly employed, because it is moreeasily controlled; but it is not always sufficiently powerful for examiningthe trachea, when it may be necessary to employ electricity, magnesiumwire, oxyhydrogen, lime, or some equally powerful illuminant. A verygood light, as suggested by Sajous, is obtainable by dropping a small pieceof gum-camphor into the tank of an oil-lamp A small incandescent lampmay be attached to the front of a head-band (photophore), by which thelight is thrown directly to the point desired. This is more or less cumbersome(although now made of aluminum) and necessitates wire attachmentsto the battery or dynamo."
Otolaryngology 299In 1891, "Acute Follicular Tonsilitis: Is It Infectious? Its DifferentialDiagnosis" was well presented by C. C. Hunt of Dixon (111. State Med.Soc, page 83) and learnedly discussed by E. Fletcher Ingals. In the sameyear J.H. Coulter of Peoria presented "Laryngeal Tumors" (page 275.)The Transactions of the Illinois State Medical Society in 1893 containedan unusual number of contributions of significance. W. E. Casselberryof Chicago presented "Rhinitis in Children: Its Varieties, Causes andTreatment." "The Importance of Early Mastoid Operations in Acute SuppurativeOtitis" by F. C. Hotz of Chicago was a report of 36 operations inan era when leeches were still part of the "medical treatment." J.F. Oaksof Chicago presented "The Differential Diagnosis and Treatment of Suppurationof the Accessory Cavities of the Nose." He apparently was muchinfluenced by the European rhinologists of the day. J.Homer Coulter ofChicago wrote on "The Deflected Septum and Its Repair." Then finally,Henry Gradle of Chicago discussed the subject of "What Benefit Can EarPatients Derive From Nasal Treatment?" He was reporting on the basis of15 years of experience stating "all instances of diseases of the middle earare the complications of previously existing naso-pharyngeal anomalies."The InstitutionsAs the story of the times has unfolded, the men and their contributionsto the otolaryngological literature have made mention of the clinics andhospitals where they worked. In the United States, such institutions as theMassachusetts Eye and Ear Infirmary (founded in 1822), the ManhattanEye and Ear Infirmary, the Philadelphia Policlinic and Graduate Hospital,the Chicago Charitable (and later the Illinois) Eye and Ear Infirmary(founded in 1858), the New Orleans Touro Infirmary (founded in 1876)and numerous private clinics furnished students with increasing opportunitiesfor study and experience.The saga of the Illinois Eye and Ear Infirmary has been told. Its rolein the progress of otolaryngology and its contribution to the citizens of theState of Illinois has been tremendous. The institution had its ups anddowns, but as "the outpost of the West" survived all. In its first year ithad 115 patients (95 were eye and 20 ear cases). The Infirmary also servedthe wounded of Wisconsin, Indiana and Illinois during the Civil War. Theinstitution was always in a financial jam and Dr. Holmes had to appeal tothe state for assistance. It is interesting to note that it cost $6.00 a week toboard and house each of 25 patients in 1869. The state took over in 1871,the year it was destroyed by the great fire, and the institution was rebuilton its present site. Interesting, too, is the fact that in 1891 they had butone nurse and 6400 patients.The Common Council of the City of Chicago was having its difficulties
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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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114 History of Jiledical Practice i
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Page 306 and 307: CHAPTER XIIIOTOLARYNGOLOGYBy ALFRED
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Page 332 and 333: CHAPTER XIVDERMATOLOGYBy B.BARKER B
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Page 340 and 341: 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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