London (Ancient and Modern) from the Sanitary and Medical Point of ViewPoore, George Vivian
History
London (Ancient and Modern) from the Sanitary and Medical Point of View
Poore, George Vivian
Medicine -- England -- London -- History -- 19th century; Sanitation -- England -- London -- History -- 19th century
In 1626 Harvey’s stipend, which had been £25 per annum, was raised to
£33 6s. 8d., on condition that he relinquished his claim to one of the
hospital houses. In 1630 he obtained leave of absence from his hospital
duties, having been commanded by the King to travel with James Stuart,
Duke of Lenox. Harvey was at this time physician extraordinary to the
King, and in the year following was appointed physician in ordinary.
Dr. Andrewes appears to have been appointed as Harvey’s substitute
during his absence, the governors showing themselves somewhat unwilling
to accept Dr. Smith, who was Harvey’s nominee. It appears that the
work of the hospital increasing, and Harvey being much occupied at
court, Dr. Andrewes was definitely appointed Harvey’s coadjutor, or,
as we should say, “assistant physician,” with the yearly stipend of
£33 6s. 8d. A set of rules was drawn up by Harvey and accepted by
the governors, which are interesting in two particulars: first, as
showing that Harvey was impressed with the necessity of limiting the
relief afforded by the hospital, and that he foresaw the inconvenience
likely to arise from a press of what we should call “out-patients;”
and secondly, that in the matter of prescribing internal remedies the
chirurgeons were unable to act independently of the physicians. It
further appears that there were “lock” hospitals in connection with St.
Bartholomew’s, established in Southwark and Kingsland, in the disused
Leper Hospitals (leprosy having then disappeared from London), for
the reception of venereal cases. That venereal disease had long been
very rife in London appears from the statement of William Clowes in
1596, that within five years over 1,000 cases had been cured at St.
Bartholomew’s, and he adds, “I speak nothing of St. Thomas Hospitall,
and other houses about the city, wherein an infinite multitude are
daily cured.” Harvey retired from St. Bartholomew’s in 1643. In
Harvey’s time the staff consisted of two physicians, three surgeons,
one of whom, John Woodhall, was the author of the “Surgeon’s Mate,”
and in his twenty-four years’ service amputated “many more than 100
of legges and armes,” with a mortality of 20 per cent., one surgeon
for the stone, two surgeons or “guides” for the lock hospitals, an
apothecary, and “a curer of scald heads.” This latter functionary
appears to have been a woman, and the salary paid to her for her
services varied from £27 in 1623 to £126 in 1642, and there is evidence
to show that she received three or four shillings for each scald head
cured. According to Dr. Church, at St. Bartholomew’s Hospital, where
the diet, owing to the munificence of Dr. Radcliffe, has, since his
time at least, been exceptionally good, so late as 1767 potatoes do not
seem to have been introduced into any of the diets; greens were given
on certain days of the week, but no other vegetables are mentioned.
THE PHARMACOPŒIAS.
Public-domain text, read in full here on John Shaqi.
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