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History of medical practice in Illinois - Bushnell Historical Society

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Medical Bacteriology 355Frank Bill<strong>in</strong>gs described the sta<strong>in</strong><strong>in</strong>g <strong>of</strong> the tubercle bacillus, bas<strong>in</strong>ghis article on personal work.From the forego<strong>in</strong>g account it is obvious that the <strong>in</strong>fluence <strong>of</strong> the Germanschool predom<strong>in</strong>ated <strong>in</strong> the bacteriologic developments <strong>in</strong> Chicago.A persistent sc<strong>of</strong>fer <strong>in</strong> the late eighties always referred to the germ theoryas "the German theory." But Pasteur by no means was overlooked. Hiswork is discussed <strong>in</strong> the books by Burrill, Belfield, Gradle and Black. Some<strong>of</strong> his lectures were published <strong>in</strong> translation. In 1886 and 1887 letterswritten from Paris by Chicago physicians describe personal visits to Pasteur<strong>in</strong> his laboratory, with special reference to his <strong>in</strong>vestigation <strong>of</strong> rabies. TheChicago Pasteur Institute for the prevention and treatment <strong>of</strong> rabies,"first <strong>in</strong> the West," was founded by Antonio Lagorio <strong>in</strong> 1890.In1888 the foundations were laid for the quarant<strong>in</strong>e <strong>of</strong> patients withdiphtheria when the health department <strong>of</strong> the city issued the declarationthat diphtheria is not a filth disease but a contagious disease like smallpox.In 1889 Nicholas Senn published a review <strong>of</strong> the current literature onwhat he called surgical bacteriolosrv. This book was translated <strong>in</strong>to French.It is fitt<strong>in</strong>g to end these notes on the beg<strong>in</strong>n<strong>in</strong>gs <strong>of</strong> bacteriology <strong>in</strong> Chicagowith two quotations from Senn's book because they illustrate well theprogress <strong>of</strong> bacteriology dur<strong>in</strong>g the years covered by the notes and the author'sgrasp <strong>of</strong> its significance:"With<strong>in</strong> a few years bacteriology has revolutionized surgical pathology.All wound complications and most <strong>of</strong> the acute and chronic <strong>in</strong>flammatorylesions which come under the treatment <strong>of</strong> the surgeon are caused by microorganisms;hence the necessity <strong>of</strong> a proper recognition <strong>of</strong> the importance<strong>of</strong> bacteriology as an <strong>in</strong>tegral part <strong>of</strong> the science and <strong>practice</strong> <strong>of</strong> modernsurgery. . . ."At thistime, surgical pathology has almost become synonymous withsurgical bacteriology. Textbooks on surgical pathology <strong>of</strong> only a fewyears ago are consulted <strong>in</strong> va<strong>in</strong> for <strong>in</strong>formation on many subjects whichnow attract universal attention. Ow<strong>in</strong>g to the activity which is manifestedeverywhere <strong>in</strong> the <strong>in</strong>vestigation <strong>of</strong> the microbic cause <strong>of</strong> disease, the manydiscoveries which are be<strong>in</strong>g made <strong>in</strong> rapid succession, works on pathologysoon become old, and are consigned to the shelves <strong>of</strong> the antiquarian almostbefore they have left the press."This br<strong>in</strong>gs one to the close <strong>of</strong> the pioneer epoch <strong>in</strong> Chicago medic<strong>in</strong>e.The modern epoch beg<strong>in</strong>s about 1890. New laboratories are organized <strong>in</strong>the <strong>medical</strong> schools; laboratory teach<strong>in</strong>g is developed, and laboratorymethods are <strong>in</strong>troduced <strong>in</strong>to cl<strong>in</strong>ical diagnosis; bacteriology is added tothe curriculum; bacteriologic methods are <strong>in</strong>troduced <strong>in</strong>to public healthwork and bacteriologic pr<strong>in</strong>ciples are followed <strong>in</strong> the care <strong>of</strong> <strong>in</strong>fectiousdiseases; and before long research <strong>in</strong> bacteriology is well under way.the

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