Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
It might be deemed that this advanced position of Morgagni was due
rather to intuitive abhorrence of the disease than to the conviction
of actual observation, and that his conclusions were the result more
of prejudice than of real knowledge. Any such opinion, however, is
absolutely contradicted by the fact that he knew and understood better
than any one of his generation the pathology of consumption. He
pointed out at a time when any chronic affection of the lungs was
liable to be considered consumption that there are a number of forms
of chronic bronchitis that are not due to pthisis pulmonalis, but to
other slow-running conditions within the lungs.
He anticipated very completely the present position of surgery with
regard to the treatment of cancer. He advised the operative removal of
these malignant tumors whenever possible. As Benjamin Ward Richardson
points out, this advice was given evidently not with the idea that the
disease could be always thus completely cured, but because early
operation gave speediest relief of annoying {47} symptoms and assured
the greatest prolongation of life. Many other methods of removal of
cancerous growths were suggested in Morgagni's time, as in our own,
and many false promises made and false hopes raised by their
advocates. He pointed out that the quickest, the safest, the surest
and in the end, for the patient, the easiest method of removal is by
the knife in the hands of the bold and skilful surgeon. After a
century and a half of vauntedly great advance, especially in surgery,
we are practically in the same position as when Morgagni's advice was
penned, and his opinion remains practically as valuable to-day as
then.
In another important point of medicine Morgagni seems to have
anticipated the opinion of our own time. It was the custom to practise
venesection very freely. On one or two occasions in his own lifetime
Morgagni fell ill and venesection was recommended. His biographer says
that he constantly refused this method of treatment, adding very
naively, "and he who had often cured others by venesection would never
allow this remedy to be used upon himself because, as I believe, he
had a natural abhorrence to it."
It was an index of thoroughgoing independence of thought in those days
to stand out, even for personal reasons, against the overwhelming
tradition in favor of blood-letting. But Morgagni had well-grounded
doubts as to the remedial efficacy of abstraction of blood, and at
least avoided it in his own case.
Public-domain text, read in full here on John Shaqi.
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