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
As a considerable number of families have really a painful interest
in this question, I will, at the risk of being a little professional,
state what has occurred under my own observation, in explanation of
the apparent discrepancy. My own experience obliges me to coincide
with those authorities on this subject, who, approving Mr. Abernethy's
practice, adopted it. Amongst a host of eminent men, I will mention
only two, Sir Astley Cooper, and a scarcely less eminent authority, Mr.
Samuel Cooper, the laborious and distinguished author of the "Surgical
Dictionary," who observes that Mr. Abernethy's plan deserves "infinite
praise." Sir Astley Cooper, too, in speaking of a very dangerous period
of the case to which Mr. Abernethy's plan has an important relation,
says: "We should adopt the plan suggested by Mr. Abernethy, as it is
the best ever invented by any surgeon." The apparent discrepancy in the
results of the experience of different surgeons, is rather a matter of
degree, and admits of easy explanation.
The feature whence the disease derives its name is merely a partial
exposition of an exceedingly deranged state of the whole economy, not
unfrequently complicated with organic disease. Although Mr. Abernethy's
paper shows that even these cases are not necessarily fatal, still, in
general, such will sooner or later terminate unfavourably under any
treatment; but, in many others, the explanation which I first suggested
has been a satisfactory solution of the failure: viz. that the
principle on which Abernethy proceeded has not been seized, and that
therefore the treatment has involved direct violations of it. In some,
the local relief has been by no means conducted with the observance of
those conditions which Mr. Abernethy has enjoined. In others, there has
not been even any reasonable approximation to that careful attention to
the general health which is the necessary basis of the plan.
Another point, which has in some cases impeded the adoption of the
practice, is the increased responsibility it seems to involve. If a
surgeon is to be mistrusted and charged with either, the "laisser
mourir" is much less injurious to him than the "tuer." What we mean is
this: Everything sometimes is going on well, until the opening of the
deposited fluid. If it be left to open by the ordinary processes of
nature, the subsequent symptoms are properly enough ascribed to the
usual course of the disease; but if the surgeon has interfered, and,
from any circumstances whatever, the opening does not heal, or bursts
soon after from some slight accident (which has now and then happened),
the surgeon is blamed. The only remedy for this, is to impress the
necessary caution: repose of the part, and so forth.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account