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
In these days of improved statistical inquiry, it would be a curious
document which should give us the comparative number of persons who are
now bled, and that of only fifty years ago; and whilst it would present
very instructive data as to the progress of medical science, it would
give also some significant hints as to the relations of fashionable
remedies. First, almost every barber was a bleeder; and within my own
recollection, a lady, who for any serious ailment consulted the most
eminent physician in the neighbourhood in which she lived, would allow
no one to bleed her but the barber.
Formerly, multitudes of people lost a little blood every "spring and
fall." Accidents of all kinds afforded a fine opportunity for bleeding.
The papers announced accidents generally by the usual—"It is with
regret that we learn that Sir Harry —— was thrown from his horse
in the Park. It was feared that the honourable baronet had sustained
serious injury; but, fortunately, Mr. Sharpe was on the spot, so that
the patient was immediately bled. He was conveyed home, and we rejoice
to hear that he is doing well. The accident, which it had been feared
was a fracture, proved to be only a 'dislocation.'"
The questions in regard to bleeding were said to be—who, when, and
how much (_quis, quando, quantum?_); but, to our minds, Aretæus
has a better saying: "When bleeding is required, there is need
of deliberation (_cum sanguinem detrahere oportet, deliberatione
indiget_)." We like this better; because, in addition to the little
words quoted above, it suggests another, more important than
either—namely, _cur?_ why—on many occasions, a favourite inquiry of
Abernethy's.
We recollect a surgeon being called to a gentleman who was taken
ill suddenly, and he found two or three servants and the medical
attendant struggling very vigorously with the patient. Whilst this
was continuing, the first question put to the surgeon by the medical
attendant was:
"Shall I bleed him, Sir?"
"Why should you desire to bleed him?"
"Oh! exactly; you prefer cupping?"
"Why should he be cupped?"
"Then shall I apply some leeches?"
This, too, was declined; in short, it never seemed to have occurred
that neither might be necessary, still less that either might therefore
do mischief.
It is the most curious thing to see the force of a well-grown
conventionalism. As long as it led to moderately bleeding plethoric
baronets in recent accidents, no great harm would have been done;
but the frequency in other cases, in which bleeding was instituted
with "apparent impunity," was too commonly construed into "bleeding
with advantage," until the practice became so indiscriminate as to be
extensively injurious. _Now_, comparatively, few persons are bled; and
some few years ago I had a curious illustration of it.
Public-domain text, read in full here on John Shaqi.
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