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
In 1836 Dr. Williams was asked to give lectures on Diseases of the
Chest at the Anatomical School in Kinnerton Street, connected with
St. George’s Hospital. In 1836-7 he was president of the Harveian
and the Westminster Medical Societies. In the summer of 1837 he
worked to prepare for the second Report of the British Association
Committee on the sounds of the Heart, in which were brought forward
important experimental results in regard to morbid murmurs associated
therewith. In 1835 he had shown that the true ground of distinction
between different forms of disease of the heart’s valves lay in the
different direction in which the sonorous currents spread the sounds,
and imparted them to the chest walls. Thus he first established the
distinction between basic and apex murmurs, developing his views more
fully in 1836-7-8.
In 1839 Dr. Williams was elected Professor of Medicine to University
College, and physician to its hospital on Elliotson’s retirement.
Work now crowded upon him; in the first winter session he gave 150
lectures and examinations in six months, visited the hospital almost
every day, and gave a weekly clinical lecture. Up to this period
_post mortem_ examinations at the hospital had been made in a mere
open shed, with a wooden shelf, scarcely screened, and without a
table or a supply of water. Dr. Williams himself planned a proper
_post mortem_ theatre; and with the plan he offered £50 towards the
cost,—a munificent mode of action which speedily secured the building
of the required theatre. Dr. Williams’s practical teaching and
luminous lectures caused the Medical School to increase still more
rapidly. He had a class of over two hundred. In 1840 an experimental
research in which Dr. Williams was assisted by Prof. Sharpey proved
the muscular contractility of the bronchial tubes, and confirmed the
great influence of belladonna and stramonium as remedies in asthma,
in suspending this contractility.
The winter of 1840-1 was occupied largely with original experiments
on congestion, determination of blood, and inflammation, which Dr.
Williams treated of in the Gulstonian Lectures at the College of
Physicians in 1841. His results and views were, as acknowledged by
eminent men recently, twenty-five years in advance of his time. Both
Virchow and Burdon-Sanderson have acknowledged their great value. Dr.
Williams claims that he first pointed to enlargement of the arteries
leading to a part as the direct physical cause of determination
of blood to that part. “When the web of a frog’s foot is gently
irritated by an aromatic water, the arteries may be seen through
the microscope to become enlarged, and to supply a fuller and more
impulsive flow of blood to the capillaries and veins, which then all
become enlarged too: the whole vascular plexus, including vessels
which before scarcely admitted red corpuscles, then becomes the seat
of a largely increased current” (_London Medical Gazette_, July 1841).
Public-domain text, read in full here on John Shaqi.
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