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  1. The Misuse of Drugs in Modern Practice

    8/11/2016

    of disease, we may well ask if we are not, in some degree, responsible for it. Each generation is prone … may well doubt the truth of the statement. It is true that the Dispensatory includes many obsolete … ability to manage. What I am about to state may seem somewhat startling, but it is none the less true …

  2. James Thacher, M_D_, of Plymouth, Mass_ (pdf)

    8/11/2016

    . < Davis on Medical Education, p. IG. ' Loo. cit., p. 46. i» Josiah Bartlett, M.D : Progress of Medioal Science. 11 'l'hacher: Medical Biographies, p. 96. The Boston Medical and Surgical Journal as published by The New England Journal of Medicine. Downloaded from nejm.org by JOSH ROSENFELD on April 6, 2016. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2010 Massachusetts Medical Society. With this short prelude as to the status of medicine and the medical profession in tho eighteenth century, I ask your attention to the subject of my paper,— James Thaohek, M.D., of Plymouth, Massachusetts. Dr. Thacher was descended from Anthony Thacher, who camo to this country from England in the year 1635. He was born at Barnstable, February 14, 1754. His father was John Thacher, his mother was daughter of Samuel Norton, Esq., of Chilniark, Martha's Vine- yard, and grand-daughter of Governor Coddington, ofRhode Island. With only such preparation as could bo acquired while living upon one of tho sandy farms of Cape Cod, he was, at the age of sixteen, apprenticed to Dr. Abuer Hersey, of Barnstable. That his pre- ceptor was an eccentric and austere man, with less of the science than the art of medicine, appears from his student's interestin»; and somewhat amusing account of liim. Dr. Hersey's advantages of education were greatly deficient, he having labored with his father in husbandry during early life. He commenced the study of medicine under his brother James, of Barnstable, a physician of reputation and extensivo practice. After a pupilage of about one year, his brother's death prof- fered him at the age of nineteen, the benefit of that brother's name and the field of his professional labors. At a youthful period of life, perhaps unexampled in the annals of medicine, and under the disadvantages of a penurious education, young Hersey began his career, and ever after pursued it with fidelity and zeal. He at once embraced the whole circle of practice which his brother had enjoyed, and it was not long before he acquired the confidence and respect of the people. For many years he commanded without a rival the whole practice upon Cape Cod— a distance of moro than forty miles, containing a population of seven or eight thousand— controlling at pleasure his practice and his fees. As a surgeon he was considered judi-cious and skilful, though he never performed a capital operation. Dr. Hersey was subject to an hypochoudriacal affec- tion, and in his domestic character was eccentric in the extreme, — a compound of caprice and whims. Domestic happiness and social interfcourse were strangers in his family. He oftener chastened by his frown, than cheered by an expression of approbation. He adopted a very abstemious modo of living, reject- ing animal food, ardent spirits and wine, confining himself chiefly to a diet of vegetables and milk. But in nothing was his singularity more conspicuous than in his manner of dress. His garments were of a fashion peculiar to himself, remarkably largo and loose, and lined throughout with baize. Such was his whimsical fancy, that he had a great-coat made of tanned leather. Seven calf skins were cut and formed into an outer garment as a defence against the rain, lie was by nature churlish in his temper, and abruptin his manners; and when in his peevish,moods, it was common for him to express himself in such lan- guage as this : " I liad rather be chained to a galley oar, than suffer such vexation." A curious instance of this kind occurred when the widow of his brother contemplated making him a visit. Shu informed him by letter of her intentions. The doctor, knowing that she would appear in a style rather different from that to which he had been accus- tomed, was greatly agitated, and immediately answered the letter as follows : " Madam, I cannot have you. I have neither hay nor corn for your horses, 1 have no servants in my family, and I had rather be chained to a galley oar than wait upon you mvself." He,died in the sixty-sixth yraj^^'iis age, leaving no children. By his will he'^WPealned to Harvard College five hundred pounds, as an addWonal endow- ment of the professorship to which his brother, Ezekiei' Hersey, of Hingham, had previously gnen a lar'g-of Dr. Thacher completed ¡¡¡a live yearM^prentiee- ship in the twenty-first year'of hi» aj^, at a most eventful period in tho history oí our country. The battle of Bunker Hill had just been fought. All New England had become the theatre of civil war, and every member of tho community was stirred with the deepest anxiety and patriotic enthusiasm. Our young doctor says of himself : " Participating in the glorious spirit of the times, and contemplating improvement in my professional pursuits, motives of patriotism and private interest prompted me to hazard my future in the conflict for independence." u I In taking this step, he met with no encouragement, cither from his own family or from his late preceptor. All urged in opposition his youth, and the manifest hopelessness of the cause. However, his youthful ardor found in Joseph Otis, Esq., more sympathetic counsel. That gentleman not only commended his purpose, but furnished him witli a letter of introduc- tion to his (Otis's) brother-in-law, James Warren, Esq., President of the Provincial Congress. '.fiWough .lames Warren's influence his name was addcJ^^thc list of candidates for examination; and ho^WBtcd the appointed day with anxiety and suspense, .i9' his stock of medical knowledge should be deemed inade- quate, and his hope be blasted. That the examina- tion was reasonably close and severe, covering the topics of anatomy, physiology, surgery and medicine, is apparent, since, of the sixteen examined, six were privately rejected as unqualified.18 Having successfully passed this test, he was appointed surgeon's mate in the provincial hospital at Cambridge, Dr. John War- ren being the senior surgeon. July 15, 1775, he assumed his duties. Dr. Josiah Bartlett was asso- ciated with him in a similar capacity. This hospital consisted of several private but commodious houses appropriated for the purpose, and contained a number of soldiers wounded at Breed's Hill, as well as many sick of various diseases. The following February upon the appointment of Dr. John Morgan as Director-General of Hospitals, our young surgeon was subjected to another examina- tion by that gentleman, and appointed mate to Sur- geon David Townsend, aud assigned to Colonel Asa Whitcomb's regiment, stationed upon Prospect Hill. This regiment was one of the few which were per- mitted to enter the town of Boston, after it was evac- uated by the British. At this time, small-pox pre- vailing, he was inoculated by his frieud, Dr. John Homans, and passed successfully through the disease, not being ill in bed a single day. He accompanied his regiment upon the expedition to Ticonderoga, and participated in that disastrous retreat, which after- wards proved to have been one of the factors in bring- ing about the ruin of Burgoyue's army by drawing that general into the interior. The term of service of Whitcomb's regiment having expired, Dr. Thacher was appointed to the general hospital. While in this hospital at Albany, he enjoyed fine opportunities for 12 Thacher : Military Journal, p. 25. a Loc. oit., p. 34. The Boston Medical and Surgical Journal as published by The New England Journal of Medicine. Downloaded from nejm.org by JOSH ROSENFELD on April 6, 2016. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2010 Massachusetts Medical Society. professional improvement, large numbers of officersaud soldiers of both armies being assembled there ; among these was General Benedict Arnold, suffering from a fracture of the leg, whom the doctor found an exacting aud unreasonable patient. The following November, 1778, Dr. Thacher was appointed surgeon of the First Virginia Regiment, with wl.^^klir remained until the next June, when, upon the íBitation of Dr. Townsend, he exchanged into the Fiut Massachusetts, commanded by Colonel Henry Jackson. His relations with the Virginia offi- cers had been most pleasant, but he believed it to be more advantageous to serve in a regiment with officers from his native State. While with Colonel Jackson's regiment he participated iu various minor engagements aud skirmishes, and was present at the execution of Major John Andre.14 Of that melancholy sacrifice of a brave and chivalrous young officer to the stern and relentless rules of war, he has given us in his " Mili- tary Journal " one of the best accounts extant. In July, 1781, Colonel Alexander Scammel, for- merly adjutant-general of the army, formed a select corps of light infantry, chosen from the most active and efficient of the New England soldiers. The honor of an appointment as surgeon to the troop was offered to Dr. Thacher, and accepted by him. This troop was intended for active and hazardous duty in advance of the main army. They were present at the siege of Yorktown, which terminated in the surrender of Lord"jornwallis. This incident of the war afforded Dr. Thacher the greatest satisfaction. He speaks of it as among the blessed privileges and richest incidents of his life, that he assisted at the siege and capture of a British army. January 1, 1783, in accordance with a resolution of Congress reducing the army in view of the near ap- proach of peace, Dr. Thacher resigned his commis- sion, and left the military service with honorable testi- monials as to the faithful discharge of the various duties which had devolved upon him. We have fol- lowed thus minutely his military career, as it was the school which liberally educated him. He entered tho army an obscure lad of twenty-one years, poorly equipped with professional knowledge, aud entirely deficient in worldly wisdom ; he emerged after seven and a half years spent in the enjoyment of unusual facilities for advancement in his profession, an accom- plished physician and surgeon. He had acquired also those social qualities which were not less important to his future success, by association as guest aud friend with the most distinguished and cultured officers of the Revolutionary army. He retired from the army July 1, 1783, and in the following March established himself at Plymouth, Mass., as a practitioner of medicine and surgery. The prestige which he brought with him speedily ob- tained for him a large and lucrative practice. His fame soon spread, and he was frequently called to the neighboring towns for consultation, especially in cases of surgery. While pursuing an arduous and exteusive practice, he was also engaged in teaching. Usually, as members of his family were six or eight students whom he instructed by recitations and demonstrations. It lias been related to me by an old lady 1S who remem- bered the doctor very well, that quite a serious local sensation was created by the suspicion that some of the dissecting material for his demonstrations was obtained from a neighboring churchyard. A curiously deformed individual was believed to have been resur- rected by the students, and a mob collecting threatened the doctor's house, and interrupted for a time his course of instruction. (To be continued.) i» Military Journal, p. 272." Mrs. Mary W. Bussell. Original Articles. PULMONARY SYPHILIS IN THE ADULT.1 BY THOMAS E. SATTERTHWAITE, M.D., NEWYORK CITY. My excuse for bringing this vexed question before the profession at this time is that 1 have some personal experience to present that will, I think, contribute something towards its solutiou. And I may say at tho outset, that the importance of syphilitic lung affections has been very much under- estimated by physicians ; aud I do not much blame them, because the subject has always occupied an ob- scure corner in our text-books, or has been altogether omitted. These statements of mine lead us to the inference that there is both a negative and an affirmative position, and I could prove it satisfactorily to-day by an appeal to you who are here. For some of you would tell me plainly that you do not believe in the existence of pul- monary syphilis : others of you would state positively that you have both seen it and treated it successfully. Perhaps some of the former may be among my syphi- lographic friends, who, like Bauemler, have written much on the disease in some of its special types ; and yet with him they may feel compelled to state that they are not sure of ever having seen a genuine case.3 Indeed, I am willing to concede that such a position is within the range of possibility, though not of proba- bility. At any rate the majority of general practi- tioners throughout this country to-day would, I am quite confident, affirm that they have never seen lung syphilis.In my clinics at the Post-graduate Medical School, during my experience of eight years, 1 was repeatedly told by medical men that syphilis did not occur at all in their practice, being quite unknown to them. And yet syphilis is really a comparatively common disease; and when any one has once learned to recognize it under its protean forms, he feels astonished at having failed in making the diagnosis. Aud I am quite will- ing to join with such a one and cry, Peccavi. But both in our own country and in all civilized lands there are to be found numbers of prominent prac- titioners who are ready to affirm the existence of pul- monary syphilis, and as the result of their deliberate opinion derived from personal knowledge ; and yet I will willingly admit that there have been good grounds for holding conservative views, especially among those whose practice has not brought them into contact with pulmonary diseases. These grounds are briefly as follows : In the first place, some syphilologists have said nothing on the subject, denied its existence, or even have spoken with harsh criticism of those on the af- firmative side ; and all this, we may presume, in per- 1 Read before the New York Academy of Medicine, Section of Gen- eral Medicine, May 19, 1891.I •' Zlemsseii's Cyclopedia, vol. Ill, p. 211. The Boston Medical and Surgical Journal as published by The New England Journal of Medicine. Downloaded from nejm.org by JOSH ROSENFELD on April 6, 2016. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2010 Massachusetts Medical Society. Address. JAMES THACHER, M.D., OF PLYMOUTH, MASS.1 BY JAMES B. BREWSTER, M.D., OF PLYMOUTH, MASS. (Continued from No. 24, page 573.) His labors as a teacher were no inconsiderable part of the good work which he performed for the advance- ment of his profession. Indeed, so remarkable habits of industry and application had he, that he even was able among his other duties to take up medical authorship, and in this field he accomplished a work, which for its extent and value must challenge our respect and admiration. His first publication was entitled " The New Dis- pensatory, compiled from the most approved authors, both European and American," and was published in 1810. This volume he most courteously dedicated to his former preceptor, John Warren, M.D., Professor of Anatomy and Surgery in the University of Cam- bridge, and President of the Massachusetts Medical Society. Before publishing the work, he loyally sub- mitted it to the Massachusetts Medical Society for its approbation. A committee consisting of Drs. John Warren, Aaron Dexter, and Josiah Bartlett, after examination, commended it in the following terms : " As it appears to have been a principal object of Dr. Thacher to adapt the work to American practice, and as he has adopted for the basis of his work the Amer- ican Pharmacopoeia of Massachusetts, lately published by the Medical Society, and recommended for gen- eral use, they are of the opinion that it will co-operate with the views of the Society in that publication, especially as its nomenclature and ordor of arrange- ment seem to be strictly observed in the manuscript. They therefore conclude that it will be for the inter- est of medical science in this country to encourage the work; and it may be the means of exciting a more general attention to the medical virtues of American productions, many of which might be introduced into tho materia medica, and advantageously as well as economically supply the places of foreign articles." lô That these gentlemen did not err in their estimate of the book, or the need of the profession for such a work, is assured by the fact that it rapidly passed through four editions. The profession of the Stateshowed an appreciation of it which must have been gratifying to its author. Two years later he issued an octavo volume, entitled " Observations upon Hydrophobia." The style is that of a series of letters addressed to a friend, containing a very full description of the disease, the various theo- ries and methods of cure existing at that time, and an inquiry as to the specific remedies which had been sug- gested,—most of fliem secret remedies, acquiring great fame as infallible cures. Among these last were the common red chick-weed, tree box and skull-cap,— each celebrated. Tho most curious of all was known as " Grouse's remedy," which was purchased from John M. Crouse, its inventor, by the New York Legislature, in the year 1806.17 The recipe, as filed in the comp- troller's office of the State of New York, is as follows : " First. Take one ounce of the jaw-bone of a dog burned and pulverized, or powdered to a fine dust. Second. Take the false tongue of a newly foaled colt, let that be also dried and powdered. Third. Take one scruple of the verdigris which is raised on the surface of old copper by lying in moist earth. The coppers of George I or II are the purest and best. Mix these ingredients together, and if the patient be an adult let him take the common teaspoonful a day, and so in proportion for a child, according to its age. If these should fail, the patient should immediately apply to a physician, who will administer three drachms of verdi- gris and one ounce of calomel at one dose, and he need not be alarmed on account of the size of the dose." After enumerating and pronouncing futile all the so-called remedies and plans of treatment which had then been suggested, Dr. Thacher, in his final chapter, expresses great hope in results to be obtained by prop- erly conducted experiments upon animals in some suit- able institution, and concluding, says : " You may smile at my project ; but however chimerical and visionary it may appear, I would rejoice to be the Jenner of the proposed institution." This language, in the light of the researches and discoveries of Pasteur, seems now to have been almost prophetic. In 1817 he published a work on the theory and practice of medicine, entitled " American Modern Prac- tice ; or, asimple method of prevention and cure of disease, according to the latest improvements and dis- coveries ; comprising a practical system adapted to the use of medical practitioners of the United States; to which is added an Appendix containing an account of many domestic remedies recently introduced into prac- tice, and some approved formulai applicable to the dis- eases of our climate." Iu his preface he says, "It is confessedly a matter of regret that a country, in which literature and science have been so honorably and suc- cessfully cultivated, should so loug remain destitute of a systematic work on practical medicine." The author most ably supplied this need, a second edition ha"ving been required a few years later. In the chapter upon the character, qualifications and duties of a physician, the standard which he offers might well serve for the emulation of auy generation. The entire literature of medicine furnishes no more complete or concise statement of the rules which should govern the conscientious physician who desires to do his full duty toward his clients and his fellow-practi- tioners. Ho says : "The man who maintains this important station in society should possess the strictest integrity of char- acter; disinterested benevolence and philanthropy should bo interwoven in the constitution of his nature. He should possess, that modesty and humanity which melts at every distress, extending the hand of relief and comfort to the affiicted, especially to the widow, to the fatherless and to him that hath none to help him. He should be actuated by the dictates of tender- ness and sympathy, which have their origin in the best feelings of the heart. To these meritorious qualities should be added an acute, penetrating genius, a reten- tive memory, intuitive discernment, and an intrepid and decided disposition of mind. To excel in the pro- fession of medicine requires indefatigable industry and a vast variety of liberal accomplishments, as well as an understanding improved by experience. The phy- sician, on the commencement of his functions, should not allow his mind to be enslaved by systems, nor to imbibe a bigoted attachment to great names, — as there is no absolute perfection in systems, nor iufalli- 1Being the Annual Discourse delivered before the Massachusetts Medical Society, at the One-hundred and Tenth Annual Meeting,June 10, 1891. 10 Proface to Now Dispensatory." Obsorvntious on Hydrophobia, p« 208. The Boston Medical and Surgical Journal as published by The New England Journal of Medicine. Downloaded from nejm.org by JOSH ROSENFELD on April 6, 2016. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2010 Massachusetts Medical Society. bility in the wisdom of men. He is not to be implic- itly guided by the doctrines, nor the practice, of others,however eminent, but to establish a course of practice,the result of knowledge, founded upon experience and observation. He will avoid all appearance of vanity and ostentation, exhibiting, however, a modest confi- dence in his own merits that may command the con- fidence of others. In his prescriptions he will endeavor to combine simplicity with elegance, rejecting the absurd idea that a combination of many simples in one prescription may retain and exert the separate virtues of each. He will confide iu a few selected articles judiciously adapted, that the indications may be an- swered by as few medicines as possible. A superficial or cursory view of the patient and a slight examination of the symptoms will never satisfy tho inquisitive and intelligent physician, nor inspire confidence in his judgment and skill. The young practitioner will derive much benefit from a methodical record of all important cases that occur in his practice, describing with accuracy the disease, with the attendant symp- toms and mode of treatment, whether successful or otherwise. Such record will furnish a document of much utility in facilitating his own improvement. Itis to be recommended among the objects of peculiar importance to medical practitioners, to possess them- selves of a well-chosen library. If the pecuniary re- sources of individuals are insufficient to procure a com- petent collection of books, let district associations be formed to accomplish this purpose. A social medical library would prove a bond of union among physi- cians, besides rendering the acquisition of knowledge cheap and easy to its members. Those who volun- tarily preclude themselves from the refined pleasure and satisfaction derivable from professional study, and who practise only by rote, and drudge on in the same beaten track, although they may boast many years' ex- perience, are but noviqps iu many essential points, and utterly incompetent to discharge their calling with sat- isfaction to themselves or justice to their patients."18 No one can read even these brief extracts from Dr. Thacher's very full and complete article upon this subject without feeling that he was far in advance of his time in the exalted professional standard which he maintained, and in the high ideal which he urged, — an ideal which should stimulate the physician, not only to elevate himself, but also to contribute something to the general advancement of the noble calling to whichhe belongs. Who can doubt .that, entertaining such sentiments, he was the good physician, honored aud beloved for his good works ? Dr. Thacher was at this time sixty-three years of age, and he was essen- tially a physician. The'great work which he had accomplished as a practitioner, teacher and writer was confined to the field of medicine ; but an imperfectionof bearing, which he had had from youth, increasing with advancing years, compelled him to relinquish attendance upon his patients, and to find employment for his active mind iu other pursuits. A distinguished member of this Society, iu his an- nual address,1" quotes the remark, " Successful men may have gained much to retire upon, but nothing to retire to, if literature, social ties and philanthropic in- terests have been lost sight of during the rush and struggle of their thirty years of active life"; but Dr. Thacher, never having been engrossed in his profes- sion to the exclusion of all other subjects, now found occupation and enjoyment in literature, in agriculture, and especially in horticulture. He contributed much to the development of this branch, stimulating it both by bis example and his pen, as he not only planted and trained orchards himself, introducing new varieties of fruit, but he wrote several papers upon the subject, and also a work entitled, " The American Orchardist," which passed through two editions. In 1828, he published his " Military Journal, dur- ing the American Revolutionary War," which he dedi- cated, with sentiments of profound veneration for that patriotic warrior and statesman, to his Excellency John Brooks, Governor of Massachusetts. In this work we have one of the most graphic descriptions of the stirring scenes of the Revolution, faithfully por- traying the hardships and struggles endured by those renowned patriots and heroes who risked life and for- tune — everything but honor— in the cause of liberty. Thacher's Journal is a continuous narrative of events of which the author was au eye-witness, exteuding through the whole struggle for national independence, a period of seven aud one-half years, written in a style easy and attractive, with that added charm which always attends the narration of personal experiences.Of all Dr. Thacher's works this is unquestionably the one which posterity has found the most valuable. Notwithstanding that it has passed through several editions, but few copies are now obtainable, and these are eagerly sought as rare prizes, by those acquainted with their value. The next year after publishing his Military Journal, — being then (1824) seventy-two years of age— he is- sued in two volumes of more than seven hundred pages, " The American Medical Biography ; or Memoirs of Eminent Physicians who have nourished in America," which he dedicated to Edward Augustus Holyoke, M.D., who was at that time in the oue-hundredth year of his age, beiug the oldest physician in the United States, and who had been the first President of the Massachusetts Medical Society. In the preface of this work he makes acknowledgment for valuable assistance received in its preparation from a number of his profes- sional brethren, — the only one of whom now living is the venerable Dr. George C Shattuck. This work will never lose its value as a book of reference for all who may wish to learn of the distinguished men, who, from the time of the settlement of the country up to the date of issue, have advanced our profession. It contains a full and complete sketch of the lives of more than one hundred and sixty American physi- cians, most delightfully written, and honestly appre-ciative of the merits of each. A goodly number of portraits embellish the work, and help us to form an idea of those old worthies whom it commemorates. An essay on " Ghosts, Demouology and Appari- tions," and a " Practical Treatise upon the Manage- ment of Bees " followed soon after. In 1832 he had become much interested in antiqua- rian research, and wrote the first history of the town of Plymouth. The first edition is said to have been burned while in the hands of the printer, and Dr. Dean, of Cambridge, believed that he possessed the only copy of this edition extant. In this volume he has collected the early records of the Pilgrims, and all events of interest from the landing of the Pilgrim Fathers down to the time of publication, very faith- fully. It was the first town history published in this i" Tliaobor : Modern Practice, chap. x. '• K. M. Hodges, M.D., before the iMiissncbusetts Medical Society. The Boston Medical and Surgical Journal as published by The New England Journal of Medicine. Downloaded from nejm.org by JOSH ROSENFELD on April 6, 2016. For personal use only. No other uses without permission. From the NEJM Archive. Copyright © 2010 Massachusetts Medical Society. State, and is valuable for reference even now. It is probable that Dr. Thacher was led to undertake the task from an interest inspired by his antiquarian re-searches in connection with the Pilgrim Society, of which he was one of the earliest members, and for many years librarian, and custodian of its collection, — a position filled by him at the time of his death. The records of the trustees of the Pilgrim Society contain the following resolve : "Resolved, That the members of this Society entertain a grateful sense of the ominent services of their late librarian, Dr. Jamos 'L'hacher, recently deceased, who, by his zeal and persoverance in promoting the objects of tho Society, has well desorveil that his memory be cherished with respoct by all who feel an interest iu its success.'-*' He was one of the earliest members of the Mass- achusetts Medical Society, for many years serving as couucillor. Its objects and interests were ever dear to him, and he always expressed the greatest confi- dence in its continued success. He was also honorary member of Medical Societies of Rhode Island, Con- necticut, New Hampshire and Georgia. He was elected a member of the American Academy of Arts and Sciences, of the New York Historical Society, and the Historical Society of New Hampshire, and foreign member of the Society of Statistics of Paris. He received the honorary degree of Doctor of Medi- cine from Harvard University, and also from Dart- mouth College ; also the degree of Master of Arts from Harvard University. He was one of the origi- nal members of tho Society of Cincinnati. As a physician, Dr. Thacher was versed in the science of medicine. He delighted in books, and made great use of them, but he did not draw his information from these alone. He had a very extensive acquain- tance among eminent men iu many branches of science, and maintained with them a correspondence most un- usual in those days. In the practice of medicine he was not hampered by traditions and dogmas, but was ever progressive, constantly seeking new suggestions, and ever ready to try legitimately new plans of treat- ment. Sometimes his zeal for improvement in thera- peutics caused his rivals unjustly to charge him with credulity, and too great haste in the adoption of new ideas. Piety was a marked trait in his character ; in all his writings he expresses the most profound respect for religion. He strictly and religiously regarded the Sabbath, refraining from all unnecessary professional labor upon that day, and was constant iu his atten- dance at public worship. All social reforms found an earnest advocate in him. Intemperance he especially denounced ; and the smoking and chewing of tobacco he declared to be nauseous and disgusting habits. Indicating his antislavery views, we may quote from his Military Journal, au entry made in October, 1781, while he was a young man, acting as surgeon of the Revolutionary Army : " The lalfor on the Virginia plantations is performed altogether by a species of the human race, who have been cruelly wrested from their native country aud doomed to perpetual bondage, while their masters are manfully contending for freedom and the natural rights of man. Such is the inconsistency of human nature. Should Providence ordain that America should be emancipated from thraldom, it should in gratitude be our prayer, that the African slave may be permitted to participate in the blessings of free- dom." 21 This opinion he entertained aud recorded, at a time when the right to hold human beings as slaves was unquestioned by even the most progressive and philanthropic. As an author Dr. Thacher is justly entitled to an honorable position. The number and variety of his subjects is astonishing. He was an indefatigable worker, — thus he was able to accomplish so much literary work in addition to his strictly professionallabors. His style was conspicuous for completeness of research and clearness of description, with an ease and flexibility which rendered it attractive. The more we reflect, the greater will be our surprise, that without the early advantages of a liberal education, and accomplishing his work at a distance from the few medical centres and libraries then existing, and unas- sisted by the interchange of opinion furnished by med- ical journals aud the stimulating association with those engaged in like pursuits, and removed from every kind of assistance in which city life is so rich aud country life so poor, — privations which every physi- cian engaged in country practice must have often felt interfere with the fulfilment of his desires aud aspir- ations, — that, notwithstanding all these disadvantages, his labors in the field of literature were eminently successful aud the crowning glory of his life ; for his last work was published when he was over eighty-one years of age. His was a life of great activity and industry, — the venerable toiler not resting from his labors even at an age when repose from the cares and toils of life would seem to be imperatively demanded. His use- fulness continued even to the end. At ninety years of age he died, as the town record tells us, of old age, after a brief illness, upon May 23, 1844. It is with great local pride that I have imperfectly traced the career of Dr. James Thacher, who resided for more than sixty years at Plymouth, believing that the name of this zealous patriot, good phy&ician, faith- ful teacher and able author, deserves an honorable position upon the roll of eminent members which is the glory and honor of this Society. "> Records of Trustees, Pilgrim Sooioty, May 27,1844. Original Articles. THE PATHOLOGY AND TREATMENT …

  3. An Epoch in Medicine in an Age of Delusion

    8/11/2016

    under two classes, the material and the spiritual, matter and mind; and medical science may be typified … are not cured by drugs. This may not be absolutely true, but it points to a grave defect in our definition … have not borne the test of time, what grounds have we to expect that other and newer remedies may have …

  4. The Relation of Pathology to Medicine

    8/11/2016

    Annual Oration 1898 By W. T. Councilman, M.D. We may … relation to clinical medicine, its problems and its relation to the medical student. Pathology may … that the simpler phenomena of life, as shown by alimentation, can be carried on; but there may not be sufficient …

  5. The Physician's Extra-Professional Duties

    8/11/2016

    then give this hour to the consideration of our extra-professional duties. However right it may be under … at one and the same time, but may very properly be borne in turn. And further on in the growth … of the community these extra-professional duties may be specialized and thus divided among the increasing number …

  6. The Medical Profession and the Commonwealth

    8/11/2016

    . There is no attempt in the statutes to classify or to define “physicians,” to declare by legislative act who may … of their profession, and those who may ignorantly and wickedly administer Medicine, whereby the health and lives … of many valuable individuals may be endangered, or perhaps lost to the community: “Be it therefore enacted …

  7. The Medical Profession and the Commonwealth (pdf)

    8/11/2016

    ," to declare by legis-lative act who may practise medicine and who shall not. Massachusetts has ever been … qualified for the duties of their profession, and those who may ignorantly and wickedly administer Medicine …, whereby the health and lives of many valuable individuals may be endangered, or per- haps lost …

  8. The Physician's Extra-Professional Duties (pdf)

    8/11/2016

    this hour to the consideration of our extra-professional duties. However right it may be under other … the members of the profession at one and the same time, but may very properly be borne in turn. And further … on in the growth of the community these extra-professionalduties may be specialized and thus divided among …

  9. Realism in Medicine

    8/11/2016

    we may differ with Wallace in some of his estimates, we must agree, I think, that this comparison … of gifts for which the human race may well feel grateful to the medical men of the nineteenth century … with an attempt at such a recital. But I think it may be well worth our while to take note of the discoveries …

  10. James Thacher, M.D., of Plymouth, Mass.

    8/11/2016

    science in this country to encourage the work; and it may be the means of exciting a more general … experiments upon animals in some suitable institution, and concluding, says: “You may smile at my project …; but however chimerical and visionary it may appear, I would rejoice to be the Jenner of the proposed …

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