Pioneer Surgery in Kentucky: A SketchYandell, David Wendel
History
Pioneer Surgery in Kentucky: A Sketch
Yandell, David Wendel
Surgeons -- Kentucky; Surgery -- Kentucky -- History
During the larger part of Dr. Dudley's life few physicians in any part
of America devoted themselves exclusively to surgery. The most eminent
surgeons were general practitioners--all-round men. In this class Dr.
Dudley was equal to the best. In one respect, at least, he took advance
ground--he condemned blood-letting. He was often heard to declare that
every bleeding shortened the subject's life by a year. Admiring
Abernethy more than any of his teachers, his opinions were naturally
colored by the views of this eccentric Englishman. Like him he believed
in the constitutional origin of local diseases, but his practice varied
somewhat from that of his master. Like him he gave his patients blue
pill at night but omitted the black draught in the morning. He thought
an emetic better, and secured it by tartarized antimony. Between the
puke and the purge his patients were fed on stale bread, skim milk, and
water-gruel. And this heroic practice he pursued day after day, for
weeks and months together, in spinal caries, hip caries, tuberculosis,
urethral stricture and other diseases.
I said that as a physician he was equal to the best. As we see things
to-day this would not, perhaps, be saying much; but in fact he was
better than the best. Negatively, if not positively, he improved upon
the barbaric treatment of disease then in universal favor. He wholly
discarded one of the most effective means by which the doctors succeeded
in shortening the life of man. This was just before those biological
dawnings which were soon to break into the full light of physiological
medicine and the rational system of therapeutics based thereupon. And
it is not improbable that as a watcher in that night of therapeutical
darkness, where the doings of the best strike us with horror, his
prophetic eye caught some glimpses of the coming day which in old age it
was given him to see. Though engaged chiefly with the great things in
surgery, he deserves a place in the list of therapeutic reformers.
Public-domain text, read in full here on John Shaqi.
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