CHAPTER XIV.
STUDYING MEDICINE.
My thoughts were now directed with considerable earnestness and seriousness, to the study of medicine. It is true that I was already in the twenty-fourth year of my age, and that the statute law of the State in which I was a resident required three years of study before receiving a license to practise medicine and surgery, and I should hence be in my twenty-seventh or twenty-eighth year before I could enter actively and responsibly upon the duties of my profession, which would be rather late in life. Besides, I had become quite enamored of another profession, much better adapted to my slender pecuniary means than the study of a new one.
However, I revolved the subject in my mind, till at length, as I thought, I saw my path clearly. It was my undoubted duty to pursue the study of medicine. Still, there were difficulties which to any but men of decision of character were not easily got removed. Shall I tell you how they were gradually and successfully overcome?
Our family physician had an old skeleton, and a small volume of anatomy by Cheselden, as well as a somewhat more extended British work on anatomy and physiology; all these he kindly offered to lend me. Then he would permit me to study with him, or at least occasionally recite to him, which would answer the letter of the law. Then, again, I could, during the winter of each year of study except the last, teach school, and thus add to my pecuniary means of support. And lastly, my father would board me whenever I was not teaching, and on as long a credit as I desired. Were not, then, all my difficulties practically overcome, at least prospectively?
It was early in the spring of the year 1822 that I carried to my father"s house an old dirty skeleton and some musty books, and commenced the study of medicine and surgery, or at least of those studies which are deemed a necessary preparation. It was rather dry business at first, but I soon became very much interested in the study of physiology, and made considerable progress. My connection with our physician proved to be merely nominal, as I seldom found him ready to hear a recitation.
Besides, my course of study was rather desultory, not to say irregular.
In the autumn of 1824, having occasion to teach school at such a distance as rendered it almost impracticable for me to continue my former connection as a student, I made arrangements for studying with another physician on terms not unlike those in the former case. My new teacher, however, occasionally heard me recite, especially in what is properly called the practice of medicine and in surgery. His instructions, though very infrequent, were of service to me.
In 1825 I became a boarder in his family, where I remained about a year.
Here I had an opportunity to consult and even study the various standard authors in the several departments which are usually regarded as belonging to a course of medical study. So that if I was not in due time properly qualified to "practise medicine and surgery in this or any other country," the fault was chiefly my own.
However, in the spring of 1825, after I had attended a five months"
course of lectures in one of the most famous medical colleges of the Northern States, I was regularly examined and duly licensed. _How_ well qualified I was supposed to be, did not exactly appear. It was marvellous that I succeeded at all, for I had labored much on the farm during the three years, taught school every winter and two summers, had two or three seasons of sickness, besides a severe attack of influenza (this, you know, is not regarded as a disease by many) while attending lectures, which confined me a week or more. And yet one of my fellow students, who was present at the examination, laughed at my studied accuracy!
One word about my thesis, or dissertation. It was customary at the college where I heard lectures--as it probably is at all others of the kind--to require each candidate for medical license to read before the board, prior to his examination, an original dissertation on some topic connected with his professional studies. The topic I selected was pulmonary consumption; especially, the means of preventing it. It was, as may be conjectured, a slight departure from the ordinary routine, but was characteristic of the writer"s mind, prevention being then, as it still is, and probably always will be, with him a favorite idea. I go so far, even, as to insist that it should be the favorite idea of every medical man, from the beginning to the end of his career. "The best part of the medical art is the art of avoiding pain," was the motto for many years of the _Boston Medical Intelligencer_; and it embraced a most important truth. When will it be fully and practically received?
But I must recapitulate a little; or rather, I must go back and give the reader a few chapters of incidents which occurred while I was a student under Dr. W., my second and princ.i.p.al teacher. I will however study brevity as much as possible.
CHAPTER XV.
NATURE"S OWN EYE WATER.
When I began the study of medicine, my eyes were so exceedingly weak, and had been for about ten years, or indeed always after the attack of measles, that I was in the habit of shading them, much of the time, with green or blue gla.s.ses. My friends, many of them, strongly objected to any attempt to pursue the study of medicine on this very account. And the attempt was, I confess, rather hazardous.
What seemed most discouraging in the premises was the consideration that I had gone, to no manner of purpose, the whole round of eye waters, elixir vitriol itself not excepted. Was there room, then, for a single gleam of hope? Yet I was resolutely, perhaps obstinately, determined on making an effort. I could but fail.
Soon after I made a beginning, the thought struck me, "Why not make the experiment of frequently bathing the eyes in cold water?" At that very moment they were hot and somewhat painful; and suiting the action to the thought, I held my face for some seconds in very cold water. The sensation was indescribably agreeable; and I believe that for once in my life, at the least, I felt a degree of grat.i.tude to G.o.d, my Creator, for cold water.
The practice was closely and habitually followed. Whenever my eyes became hot and painful, I put my face for a short time in water, even if it were _twenty_ times a day. The more I bathed them, the greater the pleasure, nor was it many days before they were evidently less inflamed and less troublesome. Why, then, should I not persevere?
I carried the practice somewhat further still. I found from experiment, that I could open my eyes in the water. At first, it is true, the operation was a little painful, and I raised, slightly, its temperature.
Gradually, however, I became so much accustomed to it that the sensation was not only less painful, but even somewhat agreeable. In a few weeks I could bear to open my eyes in the water, and keep them open as long as I was able to hold my breath, even at a very low temperature.
Perseverance in this practice not only enabled me to proceed with my studies, contrary to the expectation of my friends, and in spite, too, of my own apprehensions, but gave me in addition the unspeakable pleasure of finding my eyes gaining every year in point of strength, as well as clearness of sight. My gla.s.ses were laid aside, and I have never used any for that specific purpose since that time. Of course I do not mean by this to say that my eyes remain as convex as they were at twenty-five or thirty years of age, for that would not be true. They have most certainly flattened a little since I came to be fifty years of age, for I am compelled to wear gla.s.ses when I would read or write. I mean, simply, that they have never suffered any more from inflammation or debility, since I formed the habit of bathing them, even up to the present hour.
The more I observe on this subject, the more I am persuaded--apart from my own experience--that pure water, at the lowest temperature which can be used without giving pain, is the best known eye medicine in the world, not merely for one, two, or ten in a hundred persons, but for all. I recommend it, therefore, at every opportunity, not only to my patients but to others. It may doubtless be abused, like every other good gift; but in wise and careful hands it will often accomplish almost every thing but downright miracles. We may begin with water a little tepid, and lower the temperature as gradually as we please, till we come to use it ice cold.
CHAPTER XVI.
THE VIPER STORY.
I was, early in life, greatly perplexed in mind by the oft-recurring question, why it was that in the hands of common sense men, every known system of medicine--even one which was diametrically opposed to the prevailing custom or belief, like that of Hahnemann, seemed to be successful. Not only the botanic pract.i.tioner with his herbs, and the h.o.m.oeopathist with his billionth dilutions, but even the no-medicine man[B] could boast of his cures, and, for aught I could see, of about an equal number--good sense and perseverance and other things being equal.
And then, again, he that bled everybody, or almost everybody, if abounding in good sense, like the late Dr. Hubbard, of Pomfret, in Connecticut, was about as successful as those who, like Dr. Danforth, once an eminent pract.i.tioner of Boston, would bleed n.o.body, nor, if in his power to prevent it, suffer the lancet to be used by anybody else.
While cogitating on this subject one day, the following anecdote from a surgical work--I think a French work--came under my eye, and at once solved the problem, and relieved me of my difficulty. It may probably be relied on.
When the Abbe Fontana, a distinguished medical man and naturalist, was travelling, once, in some of the more northern countries of Europe, he was greatly surprised to find such a wonderful variety of applications to the bite of the viper, and still more to find them all successful, or at least about equally so. Even those that were in character diametrically opposed to each other, _all cured_. His astonishment continued and increased when he found at length that those who applied nothing at all recovered about as readily as any of the rest.
In the sequel, as the result of diligent and scientific research, it turned out that the bite of this animal, however dangerous and fatal in hot climates, is scarcely dangerous at all in cold ones. Hence it was that all sorts of treatment appeared to cure. In other words, the persons who were bitten all recovered in spite of the applications made to their wounds, and generally in about the same period of time.
Thus, as I began to suspect,--and the reader must pardon the suspicion, if he can,--it may be with our diversified and diverse modes of medical treatment. A proportion of our patients,--perhaps I should say a large proportion,--if well nursed and cared for and encouraged, would recover if let alone so far as regards medicine. And it is in proof of this view, that nearly as many recover under one mode of practice, provided that practice is guided by a large share of plain, unsophisticated sense, as another. And does not this fully account for a most remarkable fact?
Hence it is, too,--and perhaps hence alone,--that we can account for the strange development in Boston, not many years since, during a public medical discussion; viz., that he who had given his tens of pounds of calomel to his patients, and taken from their arms his hogsheads of blood, had been on the whole about as successful a pract.i.tioner as he who had revolted from the very thought of both, and had adopted some of the various forms of the stimulating rather than the depleting system.
"Is there, then, no choice between medication and no-medication? For if so, what necessity is there of the medical profession? Why not annihilate it at once?"
My reply is,--and it would have been about the same when these discoveries began to be made,--that there is no occasion to give up the whole thing because it has been so sadly abused. Every mode of medical practice, not to say every medical pract.i.tioner from the very beginning, has been, of necessity, more or less empirical. The whole subject has been involved in so much ignorance and uncertainty, that even our wisest pract.i.tioners have been liable to err. They have been led, unawares, to prescribe quite too much for names rather than for symptoms; and their patients were often glad to have it so. And were the whole matter to come to an end this day, it might well be questioned whether the profession, as a whole, has been productive of more good than evil to mankind. But then, every thing must have its infancy before it can come to manhood. And it is a consolation to believe that the duration of that manhood always bears some degree of proportion to the time required in advancing from infancy to maturity.
Medicine, then, as a science, is valuable in prospect. And then, too, it is worth something to have a set of men among us on whom we may fasten our faith; for, credulous as everybody is and will be in this matter of health and disease, till they can duly be taught the laws of hygiene, they will lean upon somebody; it is certainly desirable that they should rely on those whom they know, rather than upon strangers, charlatans, and conjurors, of whom they know almost nothing.
But I shall have frequent occasion to revert to this subject in other chapters, and must therefore dismiss it for the present, in order to make room for other facts, anecdotes, and reflections.
FOOTNOTES:
[B] Of the hydropathist at that time I had not heard.
CHAPTER XVII.
STRUCK WITH DEATH.
Throughout the region where I was brought up, and perhaps throughout the civilized world, the notion has long prevailed that in some of the last moments of a person"s life, he is or may be "struck with death;" by which, I suppose the more intelligent simply mean that such a change comes over him as renders his speedy departure to the spirit-world inevitable.
Now that we are really justified in saying of many persons who are in their last moments, that they are beyond the reach of hope, is doubtless true. When decomposition, for instance, has actually commenced, and the vital organs have already begun to falter, it would be idle to conceal the fact, were we able to do so, that life is about to be extinguished beyond the possibility of doubt.
In general, however, it is never quite impossible for the sick to recover even after recovery _seems_ to be impossible. So many instances of this kind have been known, that we ought at least, to be exceedingly cautious about p.r.o.nouncing with certainty, and to encourage rather than repel the application of the old saying, "as long as there is life, there is hope."[C]
I had a lesson on this subject while a medical student, which was exceedingly instructive, and which, if I were to live a thousand years, I could never forget. It was worth more to me in practical life afterward, than all my books and recitations would have been without it.
The facts were these:--