Dr. Gooch says: "It is not uncommon for the greater number of
cases to occur in the practice of one man, whilst the other
practitioners of the neighborhood, who are not more skilful or
more busy, meet with few or none. A practitioner opened the body
of a woman who had died of puerperal fever, and continued to wear
the same clothes. A lady whom he delivered a few days afterwards
was attacked with and died of a similar disease; two more of his
lying-in patients, in rapid succession, met with the same fate;
struck by the thought that he might have carried contagion in his
clothes, he instantly changed them, and met with no more cases of
the kind. [Footnote: A similar anecdote is related by Sir
Benjamin Brodie, of the late Dr. John Clark, Lancet, May 2,
1840.] A woman in the country who was employed as washerwoman and
nurse washed the linen of one who had died of puerperal fever;
the next lying-in patient she nursed died of the same disease; a
third nursed by her met the same fate, till the neighbourhood,
getting afraid of her, ceased to employ her." [Footnote: An
Account of Some of the Most Important Diseases Peculiar to Women,
p. 4].
In the winter of the year 1824, "several instances occurred of
its prevalence among the patients of particular practitioners,
whilst others who were equally busy met with few or none. One
instance of this kind was very remarkable. A general
practitioner, in large midwifery practice, lost so many patients
from puerperal fever that he determined to deliver no more for
some time, but that his partner should attend in his place. This
plan was pursued for one month, during which not a case of the
disease occurred in their practice. The elder practitioner, being
then sufficiently recovered, returned to his practice, but the
first patient he attended was attacked by the disease and died. A
physician who met him in consultation soon afterwards, about a
case of a different kind, and who knew nothing of his misfortune,
asked him whether puerperal fever was at all prevalent in his
neighbourhood, on which he burst into tears, and related the
above circumstances.
"Among the cases which I saw this season in consultation, four
occurred in one month in the practice of one medical man, and all
of them terminated fatally." [Footnote: Gooch, op. cit., p. 71.]
Dr. Ramsbotham asserted, in a lecture at the London Hospital,
that he had known the disease spread through a particular
district, or be confined to the practice of a particular person,
almost every patient being attacked with it, while others had not
a single case. It seemed capable, he thought, of conveyance, not
only by common modes, but through the dress of the attendants
upon the patient. [Footnote: Lond. Med. Gaz., May 2, 1835.]
In a letter to be found in the "London Medical Gazette" for
January, 1840, Mr. Roberton, of Manchester, makes the statement
which I here give in a somewhat condensed form.
Public-domain text, read in full here on John Shaqi.
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