After a careful examination he said, ‘If you will consent to suffer the
pain, (it was before the use of chloroform) I will agree to restore the
arm.’ He went on to say that pressure demonstrated a slight crepitation
at the joint, and also a slight elasticity; and this assured him
that the trouble was in the ligaments; that in consequence of the
long imprisonment of the arm in splints, while under inflammation,
a ligamentous adhesion had taken place, and the synovial fluid had
been absorbed. He then applied one hand firmly to the elbow, and the
other to the palmar end of the radius, and diverting my attention by
anecdote and wit, thus relaxing the resistance of the will to pain,
he gave a sudden wrench, there was a sound like the ripping of cotton
cloth, and the arm lay outstretched before me, quivering with pain,
but capable of motion. Mechanical appliances for a few weeks, so far
completed the restoration that I have ever since had about four-fifths
of its normal use and power.”
Here was evidently an instance of manipulation, which, if done by
a bone-setter, would be called empirical, but as it was performed
by a retired surgeon, it was “scientific.” If the benefit is the
same, why this difference of designation? Let the “faculty” reply in
person—“What in the captain is but a choleric word; in the soldier is
rank blasphemy.”
CHAPTER IV.
_THE TESTIMONY OF THE FACULTY._
“What in the captain but a choleric word is in the soldier
rank blasphemy.”
The first volume of the British Medical Journal for 1867 opens with a
report of a Lecture delivered by Mr., now Sir James Paget, Bart., on
“Cases that Bone-setters cure.” The Lecture is the first recognition
as far as I am aware that the profession of the Bone-setters received
at the hands of a professional surgeon, or qualified medical man,
anything more than the opprobrium of being a “quack,” an empiric, or
a charlatan. Ignorance, presumption, want of skill and knowledge were
laid to the charge of the Bone-setter. His success, if success, as
it admittedly did, attend his efforts to alleviate the anguish of a
sprain, to reduce a fracture or a dislocation, was attributed to a
happy accident, or “luck,” whilst any failure, or any mistake,
as if failures and mistakes were never made by those whose names
were duly printed in the _Medical Register_, was trumpeted always in
the medical journals and in the private coteries frequented by the
local doctors who happened to hear of the case. The many cures were
pooh-poohed, only the failures were deemed worthy of publicity. It
appears to have been forgotten that not many years have elapsed since
the barber-chirurgeons were the only recognised professors of surgery.
That the present scientific system of surgery is of comparatively
recent date. That there are instances on record of both physicians and
surgeons being tabooed and denounced because they had wandered from the
beaten path and had found out modes of curing disease and alleviating
Public-domain text, read in full here on John Shaqi.
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