Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
Laennec's words are almost an echo fifty years afterward of
Auenbrugger's expressions, just quoted: "I console myself," he said,
"with the thought that I have accomplished a work which will earn the
gratitude of all true devotees of the art of medicine, since I have
succeeded in making clear many things which shed not a little light on
the chapter of the obscure diseases of the chest, in which our
knowledge has hitherto been so very incomplete."
As a rule it may be said that medical observers whose genius leads
them to step across the narrow line that separates the known from the
unknown are likely to lack the appreciation of their own generation.
Long before Auenbrugger or Laennec, Harvey, the discoverer of the
circulation of the blood, said to friends that he did not expect any
one of his generation to accept the new doctrine, and it is well known
that the great medical men of the time did not accept it. Harvey is
not an isolated example, and even in our own time real medical
progress sometimes waits for years for recognition, while
well-advertised pretended advances are occupying the centre of the
stage. Auenbrugger's discovery made its impress, however, and was
never entirely lost to sight. Even {74} before his death there was the
consoling prospect of its meeting with adequate attention.
De Haen's successor in Vienna, Maximilian Stoll, treated Auenbrugger's
work very differently from his predecessors, and was the first to
introduce it practically into clinical medical training. Stoll did not
hesitate in his clinic, on the strength of what was discovered by
means of percussion, to attempt the evacuation of fluid from the
pleural cavity on a number of occasions. It can be easily understood
that with their lack of knowledge of the necessity for thorough
cleanliness in the surgical sense, such an operation might readily be
followed by discouragingly fatal results. This actually happened in
Stoll's own experience. He does not, however, seem to have abandoned
his practice of tapping the chest because of this. He insisted to his
students that Auenbrugger more than anyone else had experience in
removing fluid, and especially purulent collections, from the chest,
and he recommended the practice to them. He added that medicine owed
as much to Auenbrugger for his rational method of treating effusions
into the pleural cavity, whether of pus or serum, as for his
diagnostic sign by which the presence of the fluid could surely be
recognized.
Some of Stoll's pupils took up the work of commending Auenbrugger's
method, and a little book written by one of them, Eyerel, came into
the hands of the distinguished French physician, Corvisart. Eyerel did
not hesitate to say, in his treatise on empyema, that the practice of
percussion of the thorax, a diagnostic method introduced by the very
distinguished Vienna physician, Auenbrugger, had been of great help to
them in the study of this disease.
Public-domain text, read in full here on John Shaqi.
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