Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
With regard to fevers especially Graves' work will count for all time,
because he set their treatment on so practical a basis. The trained
nurse is quite a modern acquisition, yet seventy-five years ago Dr.
Graves insisted that the services of a properly qualified nurse in
severe, continued fever are inestimable. He emphasized the necessity
for moral management in fever, and friends and relatives are seldom
capable of discharging this office. "If they chance to discover from
the physician's remarks or questions the weak points of the patient's
case they generally contrive to let him know them in some way or
another. If the patient is restless, for instance, the ill-judged
anxiety of his friends {172} will most certainly keep him from
sleeping. If he happens to take an opiate and they are aware of the
nature of his medicine they will surely inform him of it in some way
or another, though it may be only by a hint and his anxiety for sleep
conjoined with their disturbing inquiries prevents its due operation."
We are apt to think that the modern aphorism, nursing (meaning trained
care) is more important than medicine in the treatment of fever, is
the result of observations in our own day. Dr. Graves, however, felt
very deeply that the most important element in the treatment is the
conservation of the patient's strength with the preservation of his
morale, and this can be best accomplished when the patient is
constantly under the care of an experienced nurse, noting every
symptom and averting every possible source of worry and every form of
exhaustion of energy.
With regard to fever treatment, however, Graves' name is immortal in
medicine because of his insistence on the doctrine that fever patients
must be fed. A century ago the presence of fever was supposed
definitely to indicate that the patient should have no food. Any
contribution to his nutrition was supposed to feed the fever rather
than the patient. Graves pointed out, however, that at the end of a
long-continued fever the most serious condition is the emaciation and
weakness of the patient. He insisted that, appetite or no appetite,
fever patients should be fed regularly. The result was at once
noteworthy. Only the very hardy individuals had recovered before this;
now even weaker patients had a good chance for life. The mortality
from fever fell very strikingly, and in his time Dublin was overrun
with typhoid and typhus fever and the saving of life produced by the
new method of treatment was very considerable. Graves himself, when he
saw how much he had accomplished by his {173} new doctrine, said that
he wanted no better epitaph on his tombstone than the words, "He fed
fevers."
Public-domain text, read in full here on John Shaqi.
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