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 managers of the infirmary of course did all in their power
to remedy this insalubrious state of things. They poured large
quantities of carbolic acid and quicklime upon the ground,
considering this a less dangerous proceeding than to attempt the
removal of the putrefying mass; they covered the ground with an
additional thickness of earth, and adopted other measures. The
hospital itself was far from being well situated in other respects.
It abutted against the old Cathedral Churchyard, much used for the
“pit burial” of paupers in a most deleterious state of aggregation.
Yet during the two years and a quarter intervening between the Dublin
address and Mr. Lister’s leaving Glasgow for Edinburgh, his new
antiseptic system continued in the main as successful as before.
In the course of the year 1864 Professor Lister had been much struck
with an account of the remarkable effects produced by carbolic
acid upon the sewage of the town of Carlisle, the admixture of a
very small proportion not only preventing all odour from the lands
irrigated with the refuse material, but also destroying the entozoa
which usually infest cattle fed upon such pastures. His attention
having been for several years greatly directed, as we have seen
above, to the subject of suppuration, especially in its relation to
decomposition, he saw that such a powerful antiseptic was peculiarly
adapted for experiments with a view to elucidating that subject, and
thus the applicability of carbolic acid to the treatment of compound
fractures occurred to him.
The antiseptic system was put into practice in the Glasgow Infirmary
in March 1865, but at first applied almost exclusively in compound
fractures (or those in which there is an external wound) and
abscesses. From 1867 it was employed for almost all surgical cases.
It arose out of Mr. Lister’s study of Schwann and Pasteur’s germ
theory and the experiments connected with them. He repeated many of
the experiments, and devised new methods calculated to test whether
they were capable of explaining the phenomena of putrefaction. These
sufficed to prove definitely that in putrefaction the development of
such organisms as the microscope could detect, and the concomitant
putrefactive changes, were occasioned by minute germs suspended in
the atmosphere. Professor Tyndall’s beautiful experiments, by which
he demonstrated the perfect manner in which cotton wool filters the
air of its suspended particles, led to the idea (suggested by Dr.
Meredith of the Indian service to Mr. Lister) that cotton wool might
be used with advantage as an antiseptic dressing. The cotton wool
must itself be rendered pure of germs by some antiseptic agency, for
by the theory the air within it must contain germs. But the main
feature upon which Mr. Lister for a long time relied was the copious
use of carbolic acid in such a form as to prevent the occurrence of
putrefaction in the part concerned.
Public-domain text, read in full here on John Shaqi.
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