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
From his earliest student days the desire had ever been present in
Simpson's mind to see some means devised for preventing the sufferings
endured by patients on the operating table, without, as he put it,
"interfering with the free and healthy play of the natural functions."
It is difficult for us at the close of the nineteenth century to
understand, without an effort of the imagination, the strong
incentives which he had for such a wish. Even to-day, when operations
are conducted without the infliction of pain, young students are not
unfrequently overcome by the sight and the thought of what is in front
of them. At the commencement of a winter session the theatre is
crowded with those students who are entering upon surgical study, and
with others, not so far advanced, who have come to get a preliminary
peep at the practice of this fascinatingly interesting art. Many of
these at first succumb and faint even before the surgeon has begun his
work, and sometimes are only persuaded to pursue their studies by the
encouragement of kindly teachers.
Simpson also went through this trying experience, but it must have
been a greater struggle to him to persist. The surroundings of the
surgeon at the commencement of the century were vastly more repugnant
to a youth of sensitive nature than to-day. The operating theatre then
has been compared to a butcher's shambles; cleanliness was not
considered necessary, and little attention was paid to the feelings of
the patient. He was held down by three or four pairs of powerful arms
as the surgeon boldly and rapidly did his work, despite the screams,
stopping, perhaps, only to roughly abuse the patient for some agonised
movement which had interfered with the course of action. The poor
wretch saw the instruments handed one by one by the assistant, and
heard the surgeon's calm directions and his remarks on the case. The
barbarous practice of arresting bleeding by the application of red-hot
irons to the surface of the wound had indeed ceased three centuries
before, when that humane reformer, Pare, displaced it with the method
of tying the open blood-vessel, but the patient's blood gushed forth
before him until arrested, into the sawdust spread to receive it, and
the sight and the hot odour of it oftentimes mercifully caused him to
faint. The spirit of Pare who, when relating a successful operation,
would humbly add at the end, "I dressed him; God healed him," had not
descended to those who practised in Simpson's day the art for which
Pare did so much. It had grown to be necessary for a surgeon to be
rough and callous; it was expected of him by the public; he was a man
to be pointed at in the street, and shuddered at when he passed, by
all who devoutly prayed they might escape his clutches. Much of this
conduct was mere mannerism; it had become the custom, and had to be
maintained in order to preserve the dignity and stamp the identity of
the surgeon. Much of it arose from the haste with which the surgeon
Public-domain text, read in full here on John Shaqi.
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