Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
Before publishing his classic paper on the _Permanent Patency of the
Aortic Valves_, on which his reputation as a wonderful clinical
observer in medicine rests, Corrigan had called attention to some
mistakes in the classification of heart murmurs as made by Laennec in
Paris. At this time Laennec was considered to be the best authority in
Europe {203} on diseases within the thorax. As regards diseases of the
lungs, he well deserved the reputation. To him the medical world owes
all that it knows about diseases of the chest, as far as these can be
detected by means of the ear. His young contemporary in Ireland,
however, was able to show that in diseases of the heart some of the
ideas acquired in long years of study of the lungs were leading
Laennec into false conclusions as regards the significance of murmurs
of the heart. Even genius does not succeed in doing more than one
thing well, and especially in the matter of taking a second step into
the unknown. While the distinguished Frenchman might have been thought
just the one to complete the work he began so well on the heart, and
while his experience with the lungs might have been expected to help
him in the recognition of the significance of heart murmur, this did
not prove to be the case. The privilege of solving the mystery of
heart diseases was to be left for his Irish contemporaries, one of the
most successful of whom in this matter was Corrigan.
Anyone who wishes to see how little subsequent study has added to our
knowledge of aortic disease should read Corrigan's original paper on
this subject. He describes all the varying forms of affections of the
aortic valve, with their various clinical manifestations. His paper is
illustrated by a set of plates that would still be valuable for
demonstrative purposes, and which serve to show how painstaking were
his pathological studies. He illustrated experimentally his ideas of
how the murmurs and thrills occur by means of an apparatus consisting
of rubber tubes through which water might be allowed to flow under
pressure, and varying calibre. Some of his conclusions, derived from
experimental observations, will not stand the test of our modern
knowledge, but they are very suggestive. Perhaps the best idea of the
clinical {204} value of Corrigan's observations can be given by a
quotation from his original paper, in which he discusses the
interesting and difficult question of the relationship between
aneurism of the aorta and inadequacy of the aortic valve. He said:
Public-domain text, read in full here on John Shaqi.
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