Man's Redemption of Man: A Lay SermonOsler, William, Sir
Philosophy
Man's Redemption of Man: A Lay Sermon
Osler, William, Sir
Medicine
You have in Scotland the merit of the practical introduction of a
method which has revolutionized the treatment of wounds, and changed
the whole aspect of modern surgery. I am old enough to have been a
dresser in a large general hospital in the pre-Listerian days, when it
was the rule for wounds to suppurate, and when cases of severe pyæmia
and septicæmia were so common that surgeons dreaded to make even a
simple amputation. In the wards of the Edinburgh Royal Infirmary and
of the Glasgow Royal Infirmary, Lord Lister's experimental work on the
healing of wounds led to results of the deepest moment to every
individual subject to an accident, or who has to submit to an
operation. It is not simply that the prospect of recovery is
enormously enhanced, but Listerian surgery has diminished suffering to
an extraordinary degree. In the old days every wound which suppurated
had to be dressed, and there was the daily distress and pain, felt
particularly by young children. Now, even after operations of the
first magnitude, the wound may have but a single dressing, and the
after-pain is reduced to a minimum. How well the older ones of us
realize that anæsthetics and asepsis between them have wrought a
complete revolution in hospital life. I asked the Superintendent of
Nurses at the Royal Infirmary to let me know how many patients last
night in the wards had actual suffering, and she has sent word that
about one in eight had pain, not all of them acute pain.
But man's redemption of man is nowhere so well known as in the
abolition and prevention of the group of diseases which we speak of as
the fevers, or the acute infections. This is the glory of the science
of medicine, and nowhere in the world have its lessons been so
thoroughly carried out as in this country. It is too old a story to
retell in detail, but I may remind you that in this city within fifty
years there has been an annual saving of from four to five thousand
lives, by measures which have directly prevented and limited the spread
of infectious diseases. The man is still alive, Sir Henry Little-John,
who made the first sanitary survey of the city. When one reads the
account of the condition of the densely crowded districts on the south
side of the High Street, one is not surprised that the rate of
mortality was 40 and over per thousand. That you now enjoy one of the
lowest death rates in Europe--15.3 per thousand for last year--is due
to the thoroughness with which measures of recognized efficiency have
been carried out. When we learn that last year there were no deaths
from smallpox, not one from typhus, and only 21 from fevers of the
zymotic group, it is scarcely credible that all this has been brought
about within the memory of living men. It is not too much to say that
the abolition of small-pox, typhus and typhoid fevers have changed the
character of the medical practice in our hospitals. In this country
typhoid fever is in its last ditch, and though a more subtle and
Public-domain text, read in full here on John Shaqi.
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