The Atlantic Monthly, Volume 08, No. 50, December, 1861: A Magazine of Literature, Art, and PoliticsVarious
History
The Atlantic Monthly, Volume 08, No. 50, December, 1861: A Magazine of Literature, Art, and Politics
Various
American periodicals
There must be much to learn from any great assemblage of sickness, under
circumstances which can be fully ascertained, even at home,--and much
more in a foreign climate. The medical body of every nation has very
imperfect knowledge of classes and modifications of diseases; so that
one of the strongest desires of the most learned physicians is for
an improved classification and constantly improving nomenclature of
diseases; and hospital-records afford the most direct way to this
knowledge. Thus, while the phenomena are frittered away among
Regimental or unorganized General Hospitals, a well-kept record in each
well-organized hospital will do more than all other means to promote the
scientific understanding of disease.
The statistics of disease in armies, the ascertainment of the numbers
who sicken and who die of particular diseases, would save more lives
in future generations than can be now appreciated; but what can the
regimental surgeon do towards furnishing any trustworthy materials to
such an inquiry? A dozen doctors, with each his smattering of patients,
can learn and teach but little while they work apart: whereas a regular
system of inquiry and record, in action where the sick are brought in in
battalions, is the best possible agency. Not only are these objects lost
when surgeons are allowed to make the great hospital a mere receptacle
for a cluster of small and desultory hospitals, but the advantages of a
broad study of diseases and their treatment are lost. Inestimable facts
of treatment are learned by watching, at the same time and in the same
place, a ward full of patients ill of the same disease. People of all
countries know this by the special learning which their physicians
obtain in large civil hospitals: and the same thing happens in military
hospitals, with the additional advantage that the information and
improved art tend to the special safety of the future soldiery, in
whatever climate they may be called on to serve.
There has long been some general notion of the duty of army-surgeons
to record what they saw in foreign campaigns; but no benefit has been
reaped till of late. The works of French field-surgeons have long been
justly celebrated; but I do not know that in the statistics and the
nomenclature of disease they have done much more than others. The
English surgeons carried or sent home in 1810 a mass of papers about the
Walcheren fever, and afterwards of the diseases of the Peninsular force:
but the Director General of the Medical Department considered such a
bulk of records troublesome, and ordered them to be burnt! Such an
act will never be perpetrated again; but directors will have a more
manageable mass of documents to deal with henceforth. With a regular
system of record, at a central station of observation, much more may be
done with much less fatigue to all parties.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account