Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First PublishedMacilwain, George
Science
Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published
Macilwain, George
Abernethy, John, 1764-1831; Physicians -- Great Britain -- Biography
His benevolent disposition led him to feel a great deal in regard
to operations. Like Cheselden and Hunter, he regarded them, as in a
scientific sense they truly are, the reproach of the profession; since,
with the exception of such as become necessary from accidents, they
are almost all of them consequent on the imperfection of Medicine or
Surgery as a science.
Highly impulsive, Abernethy could not at all times prevent the
expression of his feelings, when perhaps his humanity was most
earnestly engaged in his suppression of them. It was usually an
additional trial to him when a patient bore pain with fortitude.
One day, he was performing rather a severe operation on a woman.
He had, before commencing, said a few words of encouragement, as
was usual with him, and the patient was bearing the operation with
great fortitude. After suffering some seconds, she very earnestly,
but firmly, said, "I hope, sir, it will not be long." "No, indeed,"
earnestly replied Abernethy; "that would indeed be horrible."
In fact, he held operations as occupying altogether so low a place
in our duties, and as having so little to do with the science of our
profession, that there was very little in most of them to set against
that repulsion which both his science and his humanity suggested.
As he advanced in life, his dislike to operations increased. He was apt
to be fidgetty and impatient. If things went smoothly, it was all very
well; but if any untoward occurrence took place, he suffered a great
deal, and it became unpleasant to assist him; but he was never unkind
to the patient. It is, however, not always easy to estimate correctly
the amount of operative dexterity. Hardly any man will perform a dozen
operations in the same manner. We have seen a very bungling operator
occasionally perform an operation extremely well; whilst the very worst
operation we ever saw was performed by a man whose fame rested almost
entirely on his dexterity; and what made it the more startling, was
that it was nothing more than taking up the femoral artery. But whether
it were that he was not well, or had been careless _in the site_ of his
first incision, or in _opening the sheath_ of the vessels before he
passed his ligature, or all of these causes in conjunction, we could
not tell, because we were not quite near enough; but we never witnessed
a more clumsy affair.
The conditions calculated to ensure good operating, are few and simple;
there are _moral_ as well as medical conditions; and no familiarity
ever enables a surgeon, on any occasion, _safely_ to dispense with any
of them. When they _are all_ observed, operating usually becomes steady
and uniform; when _any_ of them are dispensed with or wanting, there is
always risk of error and confusion.
We are afraid that we should be hardly excused in a work of this
kind, were we to lay down the canons to which we allude. We cannot,
therefore, enter any further into the subject.
Public-domain text, read in full here on John Shaqi.
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