Education, Medical -- Massachusetts -- 19th century; Homeopathy; Libraries, Medical -- Massachusetts -- 19th century; Medicine
The relation of puerperal fever with other continued fevers would seem
to be remote and rarely obvious. Hey refers to two cases of synochus
occurring in the Royal Infirmary of Edinburgh, in women who had attended
upon puerperal patients. Dr. Collins refers to several instances
in which puerperal fever has appeared to originate from a continued
proximity to patients suffering with typhus.
Such occurrences as those just mentioned, though most important to be
remembered and guarded against, hardly attract our notice in the midst
of the gloomy facts by which they are surrounded. Of these facts, at the
risk of fatiguing repetitions, I have summoned a sufficient number, as I
believe, to convince the most incredulous that every attempt to disguise
the truth which underlies them all is useless.
It is true that some of the historians of the disease, especially
Hulme, Hull, and Leake, in England; Tonnelle, Duges, and Baudelocque,
in France, profess not to have found puerperal fever contagious. At the
most they give us mere negative facts, worthless against an extent of
evidence which now overlaps the widest range of doubt, and doubles
upon itself in the redundancy of superfluous demonstration. Examined in
detail, this and much of the show of testimony brought up to stare
the daylight of conviction out of countenance, proves to be in a great
measure unmeaning and inapplicable, as might be easily shown were it
necessary. Nor do I feel the necessity of enforcing the conclusion
which arises spontaneously from the facts which have been enumerated, by
formally citing the opinions of those grave authorities who have for the
last half-century been sounding the unwelcome truth it has cost so many
lives to establish.
“It is to the British practitioner,” says Dr. Rigby, “that we are
indebted for strongly insisting upon this important and dangerous
character of puerperal fever.”
The names of Gordon, John Clarke, Denman, Burns, Young, Hamilton,
Haighton, Good, Waller; Blundell, Gooch, Ramsbotham, Douglas, Lee,
Ingleby, Locock, Abercrombie, Alison, Travers, Rigby, and Watson, many
of whose writings I have already referred to, may have some influence
with those who prefer the weight of authorities to the simple deductions
of their own reason from the facts laid before them. A few Continental
writers have adopted similar conclusions. It gives me pleasure to
remember, that while the doctrine has been unceremoniously discredited
in one of the leading Journals, and made very light of by teachers in
two of the principal Medical Schools, of this country, Dr. Channing has
for many years inculcated, and enforced by examples, the danger to
be apprehended and the precautions to be taken in the disease under
consideration.
Public-domain text, read in full here on John Shaqi.
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