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
While Mr. Lister held these appointments, circumstances occurred
which were calculated to stimulate to the highest degree the effort
to discover some method of dressing wounds which should obviate the
dangers of putrefactive changes. About 1860 a new surgical hospital
was erected as part of this infirmary, and although many of the
most approved principles of hospital construction had been adopted,
the building proved extremely unhealthy. Pyæmia, erysipelas, and
hospital gangrene soon showed themselves, affecting on the average
most severely those parts of the building nearest to the ground. For
several years Mr. Lister found that in his male accident ward, which
was on the ground-floor, when nearly all the beds contained patients
with open sores, the diseases which result from hospital atmosphere
were sure to be present in an aggravated form; whereas, when a large
proportion of the cases had no external wound, these evils were
greatly mitigated or entirely absent. At this period the managers
were very desirous of introducing additional beds into the wards,
to supply accommodation for the rapidly increasing population of
Glasgow; and Mr. Lister strongly and firmly resisted such increase in
his wards. Some of the wards indeed at times became subject to such
severe mortality that they had to be closed for various periods. One
particular visitation was so serious that it was resolved to make an
investigation to discover if possible the cause of the evil, which
might, one would think, have been done at an earlier period. Great
was the shock of every one concerned to find that a few inches below
the surface of the ground behind the two lowest male accident wards,
with only the basement area, four feet wide, intervening, there was
the uppermost tier of a multitude of coffins, which had been placed
there at the time of the cholera epidemic of 1849. The corpses had
undergone so little change in the interval that the clothes they had
on at the time of their hurried burial were plainly distinguishable.
The wonder was, not that these wards on the ground-floor had been
unhealthy, but that they had not been absolutely pestilential. Yet
at the very time when this shocking disclosure was made, Mr. Lister
was able to state, in an address which he delivered to the British
Medical Association at Dublin in 1867, that during the previous nine
months, in which his new antiseptic plans of treatment had been in
operation in his wards, not a single case of pyæmia, erysipelas, or
hospital gangrene had occurred in them.
Public-domain text, read in full here on John Shaqi.
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