Medicine in Virginia, 1607-1699Hughes, Thomas Proctor
History
Medicine in Virginia, 1607-1699
Hughes, Thomas Proctor
Medicine -- Virginia; Virginia -- History -- Colonial period, ca. 1600-1775
That the London Company should have had the Henrico hospital built
during its administration and made plans for the guest houses can be
explained by the situation existing during the earlier days of the
colony. The Company, engaged in a commercial venture and realizing by
its own statement that "in the health of the people consisteth the very
life, strength, increase and prosperity of the whole general colony,"
had sufficient reason to shelter and care for the colonists. Also,
during the early days the number of incoming colonists was high
relative to the number settled and with lodging to give or to let. The
Company, in addition, knew that new arrivals fell victim most easily to
seasoning and other maladies, and needed protection from the elements.
Finally, the Company had to fill the void created by the absence of
religious orders which, during prior European colonization and
occupation of distant lands, had provided shelter and care. These
hospitals are no longer mentioned after the dissolution of the London
Company, nor were any other comparable measures taken during the
century to institutionalize care for the sick.
SURGICAL PRACTICE
Much has been made of the lower status held by the surgeon as compared
with that of the physician--during the seventeenth century. On the
continent and in England, at this period, membership in separate guilds
in part distinguished doctor and surgeon; in England, after 1540 and
until 1745, surgeons held common membership with barbers in one
corporate organization. In America, historians agree, the differences
based on specialization of practice between surgeons and physicians
soon tended to disappear, a superior education often being the only
attribute or function of a physician not shared by the surgeon. Barbers
held a unique position, but in performing phlebotomies, a minor
operation, they retained associations with health and disease. Both
barber and surgeon shared a certain expertness with tools, as they do
today.
Evidence abounds in the earlier records that the scarcity of medical
men may have compelled surgeons in Virginia to practice internal
medicine: surgeons prescribed medicine with the same frequency as
doctors. The surgeons, however, did not abandon the treatment of
wounds, fractures, and dislocations; notes on amputations during the
century also exist.
Nor is it reasonable to assume that the isolated physician of the
Virginia countryside would always insist upon referring a patient to a
surgeon. Dr. Francis Haddon, who had a large practice in York County,
Virginia, and who is not identified as a surgeon, left recorded the
course of treatment for an amputation--cordials, a purge, ointments,
and bloodletting--and a dismembering saw, as well.
Public-domain text, read in full here on John Shaqi.
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