Eminent doctors: Their lives and their work; Vol. 2 of 2Bettany, G. T. (George Thomas)
History
Eminent doctors: Their lives and their work; Vol. 2 of 2
Bettany, G. T. (George Thomas)
Medicine -- Great Britain -- History; Physicians -- Great Britain
The chief discoveries relating to auscultation were undoubtedly
Laennec’s; yet his knowledge of acoustics was by no means profound,
and he was often not successful in explaining rationally the sounds
that he heard in the chest. Dr. Williams soon started in the path
of applying acoustic laws in this field, and in 1828 he produced
his valuable “Rational Exposition of the Physical Signs of Diseases
of the Chest,” suggesting various improvements in the construction
and use of stethoscopes. Returning to London, Dr. Williams derived
great benefits through an introduction to Dr. (afterwards Sir James)
Clark, so long attached as physician to the Queen, and from the
family acquaintance with Lord Heytesbury. His work above mentioned
was favourably reviewed, and soon made its way; and many of his
explanations are accepted to the present day. After various travels
with patients, he settled in Half Moon Street, Piccadilly, in 1830,
having married his cousin, Miss Harriett Jenkins, of Chepstow.
Becoming a member of the Royal Institution, Dr. Williams was
introduced to Faraday, and was soon engaged to write for the
“Cyclopædia of Practical Medicine,” to which he contributed numerous
valuable articles on auscultation and diseases of the chest. In
these articles he recommended strongly the cure of catarrh by the
heroic process of reducing the supply of fluid. The remedial uses of
counter-irritation were carefully expounded: and dyspnœa, difficult
or distressed breathing, was clearly described.
In 1833, while practice grew but slowly, the second edition of the
Rational Exposition was brought out, containing an enlarged section
on the sounds of the heart in health and disease. For some years Dr.
Williams had considered the questions involved, and by experimental
inquiries in 1835 he established that several causes to which they
had hitherto been ascribed could not be the cause of the sounds of
the heart, and that the first sound was produced by the muscular
contraction of the ventricles, and the second by the reaction of the
arterial blood tightening the semilunar valves. His anticipation
by Rouanet in 1832 in the latter point has, however, been more
recently made evident. A third edition of his book, now of increased
importance, was published in 1835, under the title of “The Pathology
and Diagnosis of Diseases of the Chest, illustrated especially by a
Rational Exposition of their Physical Signs.” It was reprinted in
America, and translated into German and Swedish. The same year he was
elected F.R.S.
Public-domain text, read in full here on John Shaqi.
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