The History of the Medical Department of Transylvania University — John Shaqi
The History of the Medical Department of Transylvania UniversityPeter, Robert
History
The History of the Medical Department of Transylvania University
Peter, Robert
Medicine -- Kentucky; Medicine -- Kentucky -- History; Transylvania University. Medical Department
On one occasion, having been brought into a somewhat febrile condition
by fatigue in a botanical excursion in hot weather, and having full
faith in the statements of Doctor Cooke to the effect that calomel was
of all antifebrile remedies the best, and that while a small dose of
calomel might prove irritating _a good large dose_ "would sometimes
act like an opiate," he took a one drachm dose in full confidence. But
instead of the soothing, curative effect he had been led to expect,
vomiting and severe irritation of the stomach resulted, so much so
that no food but boiled milk could be tolerated for a week or so
afterward. Shaken in his faith by his first experience, but not yet
convinced of the error of the doctrine of his respected preceptor, the
second trial of a drachm dose on a similar occasion completely
satisfied him that something wrong had crept into the theory and
practice of the honored professor.
Doctor Cooke's only fear in his heroic use of calomel was that it
would salivate. But for this untoward influence, he said, one might
do almost anything with it. That this substance which, in cases of
cholera, he administered so largely with no signs of irritation or
salivation, until the patient was in a convalescent state, should
sometimes in much smaller doses prove an irritant poison, he did not
understand. A quotation from Doctor Yandell's _Memoir_, Page 7,
illustrates this: "In some cases of fever Doctor Cooke administered a
drachm of calomel at a dose, and repeated it until the patient had
taken in twenty-four hours as much as two hundred and forty grains. A
young lady was thus treated in 1826. After this quantity had been
given she seemed much relieved, but to avert the danger of salivation
he thought it prudent to administer jalap and cream of tartar. At
night they were thrown up, without producing any purgative effect. She
then took a drachm of calomel, and repeated it until she had taken
five doses in the course of the night and morning, with the same fine
effect in producing abundant bilious discharges, and a remarkably good
effect on the symptoms generally." Still uneasy about ptyalism, he
gave her cream of tartar all day, but at night it was thrown up as
before, without moving the bowels. "My fears of the consequence of
giving the only medicine which offered any prospect of saving her," he
adds, "held my hand, and she continued to vomit till death relieved
her. I reproached myself on her account afterward, and felt conscious
that fear of a remote and uncertain evil had induced me to stand and
see her die without doing all I might have done. I was convinced she
would not have died had the calomel been continued."
After she had thus taken more than an ounce of calomel he honestly
believed that he had not given her enough of this medicine! Entirely
ignoring the action of the cream of tartar in bringing this substance
partly into the condition of a soluble irritant poison!
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.
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account