Medical Revolutions
Medical RevolutionsThe Civil War started as a picnic and ended in compassion, but in between were four hideous years of twisted flesh, burning fevers, rampant pus, and oozing raw stumps. Never before had America faced even a hint of such agony and the way it responded to the occasion is fascinating history. In a very real sense the War Between the States brought forth a medical revolution and, perhaps above all, an awareness of public health. The terrible, swift scalpel became less terrible: and the dank, dirty, dingy pesthouse evolved into a pavilion of hope. Nursing, dentistry, and pharmacy also experienced a renaissance and the art and science of military medicine was projected into the future.
The man of medicine who served in the Civil War was, whether he liked it or not, first and foremost a surgeon and always referred to as such. Though his first knife may well have been government issued, he learned the tricks of the trade in due course and sometimes became quite an expert. �Do your best� was the general idea, and most surgeons did, or at least tried.
Nearly all the older doctors had received their education on an apprenticeship basis but the younger men, those who made up the bulk of the army surgeons, usually held a medical school diploma along with an office internship. Little attention was paid to clinical instruction, and in most cases the laboratory was all but forgotten. Further, stethoscopes, thermometers, syringes, and the like were widely used in Europe while many doctors here at home had never seen them let alone used them.
In regard to ability and competence, there is no reason to believe the doctors in the North and the South differed in any significant way. While the North was home to more prestigious medical institutions, the South was learning to become less dependent on the North in this area at the outbreak of the war. A number of schools became established. Whether good, bad, or indifferent, the doctors were needed and just about every device was tried to keep up supply, a task compounded by frequent absenteeism.
This situation was by no means peculiar to the medical people, for many others in the Civil War had the habit of picking up their blankets and heading back to the old homestead. This is exactly the case for Inman in the novel, Cold Mountain, by Carles Frazier. After suffering a severe wound to his neck during battle, Inman is thought to be destined for death. However, he is taken to a medical facility where the doctors leave him alone to stare through the open window in pain while his neck tries to heal itself. Against the odds, Inman survives, but his will to fight the war has died. A new will to fight has been born inside of him, the will to fight his way home....
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