Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
It is interesting to note that comparative {45} pathology--that is,
the study of the diseases of animals as illustrating corresponding
conditions in human beings--had already attracted the attention of the
Bolognese school of medicine. Albertini, who had been a professor of
Morgagni's, pointed out that aneurisms are rarely found in animals,
because brutes were not subject to emotions as are human beings.
Morgagni made still further observations in this line to confirm his
own conclusions in the matter. For a time in his earlier life he
devoted himself to the study of fishes, because they seemed to promise
to throw light on certain problems in human anatomy and pathology.
How closely he studied pathological changes in tissues can be gathered
from the fact that his observations led him to point out that aneurism
of the aorta occurs most frequently at that part of the curvature of
the aorta against which blood is constantly projected by the heart.
The realization of the importance of this mechanical factor in the
production of aneurism is one of the first successful results of
carefully applied observation and knowledge of physical laws in the
causation of changes in the tissues as opposed to elaborate theories
with very little foundation in fact.
Variations in the pulse attracted his attention, and he was among the
first to point out that the occurrence of flatulency is liable to
cause disturbance of the heart's action and to bring on noticeable
cardiac palpitation in the absence of any organic affection of the
heart itself. Morgagni also pointed out that intermittence of the
pulse may be due to nervous conditions. He showed that severe mental
shock or trying emotions may cause irregularity of the heart's action
and pulse intermittency. Some of his observations in this matter show
an intuition with regard to the nerve supply of the heart that is
quite beyond the anatomy of his time, and seems to indicate that he
suspected the existence and {46} function of the sympathetic system
and also the existence of a special nerve supply to the small
arteries.
Perhaps Morgagni's most penetrating evidence of insight in pathology
and its relations to clinical medicine is with regard to tuberculosis.
Over a century and a half ago he insisted on its contagiousness. He
refused to make autopsies on patients who had died of tuberculosis,
and his position in the matter was undoubtedly of the greatest service
in directing the attention of his contemporaries, and especially those
closely in contact with him, to the important question of intimate
association with tuberculous patients as a potent factor in the
acquirement of the disease, more potent even than heredity which then
occupied all men's minds on this subject.
Public-domain text, read in full here on John Shaqi.
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