Destiny of the Republic - By Candice Millard Page 0,74
she had ever been. The first lady not only welcomed the sight of her own doctor and insisted that she stay, but immediately sent for yet another physician, a man her husband knew well. Dr. Silas Boynton was James’s first cousin and had grown up “tramping through the woods” with him. Lucretia’s telegram to Boynton was brief but firm: “Please to have you come as soon as possible.”
Bliss found to his surprise and frustration that, despite his determined efforts, neither Edson nor Boynton would leave. Annoyed by their persistence, and hampered by their connection to the first lady, Bliss informed them that, if they must stay, they would be permitted to perform only nursing duties, and would not be consulted as physicians in their own right. Ignoring this pointed insult to their education and experience, both doctors agreed to Bliss’s conditions, determined to remain close to the president so that they might watch over him when Lucretia could not.
Very much aware that the world was watching, Bliss was determined not to make any missteps. His temporary ouster from the District of Columbia Medical Society years earlier for consulting with “irregulars”—physicians who were outside the mainstream of medical thought—had led him to shun any association with what he considered to be experimental medicine. In this case above all others, dangerous new ideas were to be avoided at all costs.
High on Bliss’s list of suspect medical theories was Joseph Lister’s antisepsis—a fact that would surprise no one less than Lister himself. “I had a taste of what has been alas! experienced so largely by our profession,” he had lamented years earlier, “how ignorant prejudice with good intentions may obstruct legitimate scientific inquiry.” This prejudice persisted despite the fact that, in the sixteen years since Lister had introduced it, antisepsis had fundamentally changed the way British and European doctors practiced medicine, and had saved countless lives. In his own hospital in London, Lister had not seen a single case of hospital gangrene or pyaemia, a particularly virulent and common form of septicemia, since he had begun using antisepsis. He was certain that, were antisepsis to be adopted in the United States, “all evil consequences might be averted.”
Although five years had passed since Lister presented his case to the Medical Congress at the Centennial Exhibition, many American doctors still dismissed not just his discovery, but even Louis Pasteur’s. They found the notion of “invisible germs” to be ridiculous, and they refused to even consider the idea that they could be the cause of so much disease and death. “In order to successfully practice Mr. Lister’s Antiseptic Method,” one doctor scoffed, “it is necessary that we should believe, or act as if we believed, the atmosphere to be loaded with germs.”
Why go to all the trouble that antisepsis required simply to fight something that they could not see and did not believe existed? Even the editor of the highly respected Medical Record found more to fear than to admire in Lister’s theory. “Judging the future by the past,” he wrote, “we are likely to be as much ridiculed in the next century for our blind belief in the power of unseen germs, as our forefathers were for their faith in the influence of spirits, of certain planets and the like, inducing certain maladies.”
Not only did many American doctors not believe in germs, they took pride in the particular brand of filth that defined their profession. They spoke fondly of the “good old surgical stink” that pervaded their hospitals and operating rooms, and they resisted making too many concessions even to basic hygiene. Many surgeons walked directly from the street to the operating room without bothering to change their clothes. Those who did shrug on a laboratory coat, however, were an even greater danger to their patients. They looped strands of silk sutures through their buttonholes for easy access during surgery, and they refused to change or even wash their coats. They believed that the thicker the layers of dried blood and pus, black and crumbling as they bent over their patients, the greater the tribute to their years of experience.
Some physicians felt that Lister’s findings simply did not apply to them and their patients. Doctors who lived and worked in the country, away from the soot and grime of the industrialized cities, argued that their air was so pure they did not need antisepsis. They preferred, moreover, to rely on their own methods of treatment, which not infrequently involved applying a hot poultice of cow