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
The erection of a theatre for the purpose of operating, though founded
on a feasible pretext, is a very questionable measure; and, unless of
clear advantage to the profession or the public, is surely not without
some character of repulsion. As regards art and science, it is certain
that not more than twenty or thirty can be near enough in the theatre
to see anything that can be really instructive in the performance
of operations. In the absence of actual advantage, therefore, an
exhibition of this kind is more calculated to give publicity to
the surgeon operating, than it is to raise the tone or chasten the
feelings of men about to enter a profession which almost daily
establishes requisitions for our highest faculties. Operations without
opportunities of real instruction, are merely unprofitable expenditure
of valuable time. That which is viewed as a sort of _exhibition_
to-day, may be with difficulty regarded in the light of a _serious
duty_ to-morrow. Were the object to tax the sensibility of a student,
and blind him to any higher association with pain and suffering than
that afforded by custom and chloroform, and to substitute for a
dignified self-possession and sympathy with suffering, which each kept
the other in due control, an indifference to everything save adroitness
of manipulation and mechanical display,—no machinery could be better
calculated to effect such objects; but science and humanity require
very different qualifications, and experience has shown that they are
neither incompatible nor beyond our power.
The humanity and science that beholds, in operative surgery, the lowest
of our employments, and which would thence be impelled to seek, and as
experience has taught us to seek successfully, to diminish the number
of such exhibitions, and to lessen the suffering of those which are
still retained, is perfectly compatible with coolness and skill in the
performance of them.
When we speak of lessening pain, we must not be understood as alluding
to chloroform, or agencies of that kind. We have, on the contrary, the
greatest distrust of their utility; we do not hesitate to admit the
propriety of their use in certain cases; but we are satisfied that,
as at present employed, a very few years will make a great change.
Many a so-called incurable case has been shown to be curable by the
hesitation of the patient to submit to an operation. We have published
some ourselves, wherein we joined in recommending the measure which the
patient declined. Many deaths that we _do know_ have already occurred
from the use of chloroform; and a _significant_ remark was made by a
man who had considerable reputation in this way. He said: "Chloroform
is a good thing for operating surgeons."
Public-domain text, read in full here on John Shaqi.
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