Memoirs of John Abernethy: With a View of His Lectures, His Writings, and Character; with Additional Extracts from Original Documents, Now First Published — John Shaqi
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
Sir Charles Blicke had a large and lucrative practice. He had the
character of taking care to be well remunerated for his services. He
amassed a considerable fortune; but we incline to think that the ideas
of the profession which Abernethy derived from his experience of his
apprenticeship were not very favourable. The astute, business-like mode
of carrying on the profession, which seems to have characterized Sir
Charles Blicke's practice, could have had few charms for Abernethy.
Mere money-making had never at any time much attraction for him, and,
at that period of his life, probably none at all; whilst the measured
pretensions of surgery to anything like a science could hardly have
been, at times, otherwise than repulsive.
The tone in which he usually spoke of Sir Charles's practice did not
convey a very favourable idea of the impression which it had left on
him. In relating a case, he would say: "Sir Charles was at his house
in the country, where he was always on the look out for patients." On
another occasion, speaking of patients becoming faint under peculiar
circumstances, he observed: "When I was an apprentice, my master used
to say: 'Oh, Sir! you are faint; pray drink some of this water.' And
what do you think was the effect of his putting cold water into a man's
stomach under these circumstances? Why, of course, that it was often
rejected in his face."
Sir Charles's manipulatory and operative proceedings seem, however, to
have represented a tolerably adroit adoption of the prevailing modes of
practice; while his medical surgery consisted chiefly of the empirical
employment of such remedies as he had found most frequently successful,
or, at all events, somehow or other associated with a successful issue;
with the usual absence of any investigation of the cause of either
success or failure. By a mind like Abernethy's, this sort of routine
would be very soon acquired, and, in a short time, estimated at its
real value. Still, while a clear head is all that is necessary to the
reception of what may be positive and truthful, it requires a vivid
perception and a cultivated understanding to detect error. Many things,
however, would creep out in Abernethy's lectures, showing that, young
as he was, even during his apprenticeship, he was not only a real
student, but he had begun to think for himself.
He mentions a case of "Locked-jaw," that occurred as early as 1780 (the
first year of his apprenticeship), which he appears to have noted with
great accuracy. He mentions the medicine that was given to the man, the
unusually large doses, and, lastly, the enormous quantity of it which
was found in the stomach after death. It was opium, and amounted to
many drachms.
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