On chloroform and other anæsthetics: their action and administrationSnow, John
History
On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
Lords’, but intimated that the reasoning of the letter did not alter his
determination. The editor of the _Medical Gazette_, Dr. Alfred Taylor,
opened fire on Dr. Snow; and for two or three weeks a sharp contest
occurred between the two doctors; but the matter soon rested, each
author retaining his own opinions, and both agreeing to differ.
Dr. Snow’s amiable but firm nature led him often to this ultimatum.
Freedom of expression was a right he always claimed; but for this reason
he extended the same privilege to others. He was never stirred into
provocation by any difference of opinion. It was enough for him to form
carefully his own opinions, and then to hold to what he had said, so
long as he felt, from his internal convictions, that he was right.
In the year 1848, Dr. Snow, in the midst of his other occupations,
turned his thoughts to the questions of the cause and propagation of
cholera. He argued in his own mind that the poison of cholera must be a
poison acting on the alimentary canal by being brought into direct
contact with the alimentary mucous surface, and not by the inhalation of
any effluvium. In all known diseases, so he reasoned, in which the blood
is poisoned in the first instance, there are developed certain general
symptoms, such as rigors, headache, and quickened pulse; and these
symptoms all precede any local demonstration of disease. But in cholera
this rule is broken; the symptoms are primarily seated in the alimentary
canal, and all the after symptoms of a general kind are the results of
the flux from the canal. His inference from this was, that the poison of
cholera is taken direct into the canal by the mouth. This view led him
to consider the mediums through which the poison is conveyed, and the
nature of the poison itself. Several circumstances lent their aid in
referring him to water as the chief, though not the only, medium, and to
the excreted matters from the patient already stricken with cholera, as
the poison. He first broached these ideas to Drs. Garrod and Parkes,
early in 1848; but feeling that his data were not sufficiently clear, he
waited for several months, and having in 1849 obtained more reliable
data, he published his views _in extenso_ in a pamphlet entitled “The
Mode of Communication of Cholera”. During subsequent years, but
specially during the great epidemic outbreak of the disease in London in
1854, intent to follow out his grand idea, he went systematically to his
work. He laboured personally with untiring zeal. No one but those who
knew him intimately can conceive how he laboured, at what cost, and at
what risk. Wherever cholera was visitant, there was he in the midst. For
the time, he laid aside as much as possible the emoluments of practice;
and when even, by early rising and late taking rest, he found that all
that might be learned was not, from the physical labour implied, within
the grasp of one man, he paid for qualified labour. The result of his
Public-domain text, read in full here on John Shaqi.
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