Makers of Modern MedicineWalsh, James J. (James Joseph)
History
Makers of Modern Medicine
Walsh, James J. (James Joseph)
Medicine -- Biography
In these modern days, when the education of the young man for medicine
is not supposed to be finished until he is nearly thirty, it is easy
to understand that perhaps the precious years in which originality
might manifest itself are already past before he gets out of the
swaddling clothes of enforced instruction from others. As has been
very well said, it is possible to smother whatever of the
investigating {17} spirit and original initiative there may be in a
young man by attempting to teach him too much of what the present
generation knows. Unfortunately, it happens only too often even in
this wise generation of ours that it is not so much the ignorance of
mankind that makes them ridiculous as the knowing so many things that
are not so. The number of things that the young man has to learn and
that are taught him, often with the assurance that they are almost
gospel truth in medicine, and yet that he finds before he has been
long out of school or indeed sometimes before he leaves school, to be
at best opinions, is entirely too great. The saving grace for the
correction of this constantly recurring fault in education is
undoubtedly a knowledge of the development of medicine in the past and
a recognition of the fact that the accepted truth of any one
generation proves after all often enough to be only apparent.
After the false impression that it is to older men we owe progress in
medicine, perhaps the most universally accepted apparent truth is that
the investigating spirit is communicable, and that the pupils of a
great master may be expected to carry on his work and add almost as
much as he has done to the great body of medical knowledge during the
generation immediately following his work. It would naturally be
expected, for instance, that Morgagni having laid the foundations of
modern pathology and connected pathological observation with clinical
observation the great development in modern diagnosis would have come
down in Italy. This was not true, however. The next great step
connecting bedside observations with postmortem appearances was made
by Auenbrugger in Vienna in distant Austria. Auenbrugger's work having
been successfully accomplished it might reasonably be supposed that he
himself or some of those who had seen his successful diagnosis of
thoracic conditions {18} by percussion would take the next step and
discover auscultation. This, however, did not happen in Germany, but
in France. It is true that Laennec's work was done under the influence
of Corvisart, who revived Auenbrugger's work and gave it to the world
once more, and that in a way, therefore, Laennec may be considered an
indirect pupil of Auenbrugger; but the fact stands that the two
discoveries of percussion and auscultation were made at an interval of
nearly fifty years and at a distance of more than a thousand miles
from each other.
Public-domain text, read in full here on John Shaqi.
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