Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
It was his work among the poor particularly that enabled Corrigan to
recognize the differences between these two diseases. He came to have
one of the largest practices that any practitioner in Dublin, or for
that matter in any city of the world, has ever enjoyed, if enjoyment
it can be called. His office used to be crowded with patients who
would occupy all his time if he allowed them to do so. In order to
secure opportunities for his other work, for his lectures, for his
hospital visitation, and for his pathological investigation, he had a
back entrance to his house through which he could steal out--even
though there were many patients waiting for him--when he felt that it
was time for him to fill another engagement.
Late in life, after his return from Parliament when he took up his
practice again, it was only a very short time {206} before the same
state of affairs developed once more. It almost seemed as though every
sick Irishman and Irish woman wanted to have the opinion of Dr.
Corrigan. He had also a large consultant practice, though he was known
for being a very different man from the ordinary type of the medical
consultant. As one of his younger colleagues said, "he never wore the
supreme air of a consultant." He was always simple and easy in his
manner, was always congenial and ready to listen to what had developed
and had been found in the case before consultation with him, and had
none of that superciliousness that was supposed to characterize the
true high-grade consultant physician in the British Isles a half a
century ago.
Within a few years after his essay on aortic heart disease, Corrigan
published a paper on chronic pneumonia or, as he called it, cirrhosis
of the lungs. Corrigan's successful achievements in medicine depended
mainly on the fact that he studied the pathological anatomy of fatal
cases with the greatest care. He had detected that in certain cases of
chronic pneumonia the process seemed to be quite different from
tuberculosis. Observations made postmortem showed that his clinical
observations were justified by the differences observed in the organ.
As a result he formulated his opinions on the subject. He called
particular attention to the fact that what he found corresponded very
closely with the pathological process which had been observed by
Laennec in the liver, and to which the French medical pathologist had
given the name of cirrhosis. It would seem as though the pathology of
the time was so crude that Corrigan must surely fall into serious
errors in his account of what he saw. Twenty years later, Virchow was
to revolutionize pathology by the publication of his "Cellular
Pathology." Notwithstanding the progress made since his time, {207}
however, Corrigan's description of the condition of the lungs that he
noted and of the pathological process observed is so true that even to
the present day this paper remains of distinct value in medicine and
represents the beginning of correct ideas on the subject.
Public-domain text, read in full here on John Shaqi.
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