Sir James Young Simpson and Chloroform (1811-1870): Masters of MedicineGordon, H. Laing (Henry Laing)
History
Sir James Young Simpson and Chloroform (1811-1870): Masters of Medicine
Gordon, H. Laing (Henry Laing)
Anesthetics; Chloroform; Simpson, James Young, 1811-1870
The steady advance of aseptic surgery has slowly but surely brought
about the results which Simpson strove to attain by a radical measure.
The enemy which had baffled surgeons for centuries was revealed by
Lister. He sent surgeons smiling into the operating-room practically
certain of success instead of dreading the terrible onslaught upon
their own handiwork of the formerly unseen and unknown destroyer. The
death rate of operations is being daily brought nearer and nearer to
vanishing point. In his review of the progress of wound treatment
during the Victorian Era published in the Diamond Jubilee number of
_The Practitioner_, Mr. Watson Cheyne says the mortality of major
operations does not now exceed in hospitals more than three or four
per cent., and this is made up practically entirely by cases admitted
almost moribund and operated on _in extremis_ with faint hope of
survival. The field of surgery, too, has been vastly enlarged, and the
term "major operation" includes not merely operations of necessity,
undertaken through ages past as the only possible means of saving
life, but also operations which have become possible only in recent
years--some of them performed merely to make the patient "more
comfortable," or even only "more beautiful." And this glorious result
is due, as Mr. Cheyne truly says, to the immortal genius of Lister.
In 1867 Simpson propounded in the _Medical Times and Gazette_ a
proposal for stamping out smallpox and other infectious diseases such
as scarlet fever and measles. In spite of vaccination, which, however,
was imperfectly carried out, smallpox alone carried off five thousand
lives annually in Great Britain. A serious outbreak of rinderpest in
the British Islands amongst cattle had recently been arrested and
exterminated by the slaughter of all affected animals. The disease
spread as smallpox did by contagion, and Simpson fell to wondering why
smallpox could not also be exterminated. His paper was a noteworthy
contribution to the then infant science of Public Health, and his
proposal, which was, however, universally regarded as impracticable,
sprang from his courageous enthusiasm as did that concerning
hospitals. He suggested that the place of the pole-axe in the
extermination of rinderpest might in the arrest of smallpox be taken
by complete isolation, and he laid down simple but rigid rules for its
enforcement. An attempt was made to utilise these a few years after
when an epidemic of fatal violence broke out in Edinburgh. He was in
no way an anti-vaccinationist, but his isolation measures were too
strong for the people in those days. We are not surprised that he
boldly proposed this measure, for he related glaring instances of
neglect of the simplest precautions. Beggars held up infants with
faces encrusted with active smallpox into the very faces of passers-by
in the streets of Edinburgh; and on one occasion a woman was found in
Glasgow serving out sweetmeats to the children of a school with her
Public-domain text, read in full here on John Shaqi.
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