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History of medical practice in Illinois - Bushnell Historical Society

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Medical Bacteriology 349"Indeed, with all due honor to Koch, and admiration for the most brilliant<strong>of</strong> experimental researches, we must admit that the discovery <strong>of</strong> thebacillus has chiefly an anatomical value: it localized <strong>in</strong> this organism the<strong>in</strong>fectious pr<strong>in</strong>ciple which had long been known to exist; it enables us todist<strong>in</strong>guish— ante- and post-mortem— <strong>in</strong>fectioustuberculosis from <strong>in</strong>flammation,tubercular or other, due to other causes; but it does not as yet expla<strong>in</strong>the hereditary predisposition, nor why this <strong>in</strong>fection occurs <strong>in</strong> oneman and not <strong>in</strong> another exposed to the same <strong>in</strong>fluences."Lantern slides <strong>of</strong> the photomicrographs used to illustrate the CartwrightLectures were shown to the Chicago Medical <strong>Society</strong> by Belfield onApril 16, 1883. Among them were illustrations <strong>of</strong> Act<strong>in</strong>omyces, and soonafterward he reported the f<strong>in</strong>d<strong>in</strong>g <strong>of</strong> act<strong>in</strong>omycosis <strong>in</strong> cattle at the Chicagostockyards. Some years before he had demonstrated trich<strong>in</strong>ae <strong>in</strong> hogs anddescribed migration <strong>of</strong> leukocytes <strong>in</strong> passive hyperemia. In the fall <strong>of</strong> 1883Belfield was appo<strong>in</strong>ted attend<strong>in</strong>g surgeon <strong>in</strong> the department <strong>of</strong> genitour<strong>in</strong>arydiseases <strong>in</strong> the Central Free Dispensary (Rush Medical College),and thenceforth he devoted himself ma<strong>in</strong>ly to work <strong>in</strong> this specialty, <strong>in</strong>which he rose to dist<strong>in</strong>ction. In 1891, however, he accepted appo<strong>in</strong>tment aspr<strong>of</strong>essor <strong>of</strong> bacteriology <strong>in</strong> Rush Medical College, and dur<strong>in</strong>g the nextten years he gave an annual course <strong>of</strong> lectures on bacteriology <strong>in</strong> its relationsto practical medic<strong>in</strong>e and surgery. As a textbook he recommendedAbbott's Bacteriology. He did not <strong>in</strong>troduce any practical work <strong>in</strong> connectionwith his lectures, and <strong>in</strong>1894 a separate laboratory course was established<strong>in</strong> the college under the direction <strong>of</strong> George H. Weaver.In 1883 another young Chicago physician, Henry Gradle (1855-1911),on his return after a period <strong>of</strong> study abroad, where he worked with Koch,also published a book on bacteria <strong>in</strong> relation to disease. This book wasbased on eight lectures by the author at the Chicago Medical College (nowNorthwestern University School <strong>of</strong> Medic<strong>in</strong>e), where he had received his<strong>medical</strong> education, graduat<strong>in</strong>g <strong>in</strong> 1874, and was pr<strong>of</strong>essor <strong>of</strong> physiologyand hygiene from 1881 to 1895. From 1895 to 1906 he was pr<strong>of</strong>essor <strong>of</strong>ophthalmology <strong>in</strong> the same school. The two books by Belfield and Gradleas well as the one by Black, which will be discussed later,are among theearliest books on bacteria and "the germ theory <strong>of</strong> disease" <strong>in</strong> English.Gradle's book gives an excellent summary <strong>of</strong> the knowledge <strong>of</strong> bacteria <strong>in</strong>disease at that time. As stated <strong>in</strong> the review <strong>of</strong> the book "the subject is systematicallyand thoroughly dealt with from beg<strong>in</strong>n<strong>in</strong>g to end, but, whilecriticism is freely employed, it is, nevertheless, so fairly done and is so freefrom all personality, that the writer can not be accused <strong>of</strong> undue prejudice,although it is clearly evident that he is <strong>in</strong>cl<strong>in</strong>ed to adopt the most advancedviews with regard to the etiology <strong>of</strong> the diseases which are discussed." Itnoteworthy that Gradle's book was translated <strong>in</strong>to Japanese <strong>in</strong> 1887 by T.is

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