Medical Essays

第34章

Thiswasthebeginning,asnearlyaswecanfixit,ofthatreformwhichhasintroducedplainwater-dressingsintheplaceofthefarragoofexternalapplicationswhichhadbeenasourceofprofittoapothecariesanddisgracetoartfrom,andbefore,thetimewhenPlinycomplainedofthem。AyoungsurgeonwhowasatSudleyChurch,laboringamongthewoundedofBullRun,tellsmetheyhadnothingbutwaterfordressing,andhe(beingalsodouxdesel)wasastonishedtoseehowwellthewoundsdidunderthatsimpletreatment。

Letmeherementionafactortwowhichmaybeofusetosomeofyouwhomeantoenterthepublicservice。Youwill,asitseems,havegun-shotwoundsalmostexclusivelytodealwith。Threedifferentsurgeons,theonejustmentionedandtwowhosawthewoundedofBigBethel,assuredmethattheyfoundnosabre-cutsorbayonetwounds。

Itistherifle-bulletfromasafedistancewhichpiercesthebreastsofoursoldiers,andnotthegallantchargeofbroadplatoonsandsweepingsquadrons,suchaswehavebeeninthehabitofconsideringthechosenmodeofwarfareofancientandmodernchivalry。[SirCharlesJamesNapierhadthesameexperienceinVirginiain1813。

“Potomac。Wehavenastysortoffightinghere,amongstcreeksandbushes,andlosemenwithoutshow。““Yankeenevershowshimself,hekeepsinthethickestwood,firesandrunsoff。“——Thesefivethousandintheopenfieldmightbeattacked,butbehindworksitwouldbethrowingawaylives。“Hecallsit“aningloriouswarfare,“——

saysoneoftheleadersis“alittledeficientingumption,“——but——stillmyopinionis,thatifwetuckupoursleevesandlayourearsbackwemightthrashthem;thatis,ifwecaughtthemoutoftheirtrees,soastoslapatthemwiththebayonet。“——Life,etc。

vol。i。p。218etseq。]

Anotherfactparallelsthestoryoftheoldcampaigner,andmayteachsomeofyoucautioninselectingyourassistants。Achaplaintoldittotwoofourofficerspersonallyknowntomyself。Heoverheardtheexaminationofamanwhowishedtodriveoneofthe“avalanche“

wagons,astheycallthem。Themanwasaskedifheknewhowtodealwithwoundedmen。“Ohyes,“heanswered;“ifthey’rehithere,“

pointingtotheabdomen,“knock’emonthehead,——theycan’tgetwell。“

InartandoutsideofityouwillmeetthesamebarbarismsthatAmbroiseParemetwith,——formendifferlessfromcenturytocenturythanweareapttosuppose;youwillencounterthesameopposition,ifyouattackanyprevailingopinion,thatSydenhamcomplainedof。

Sofaraspossible,letnotsuchexperiencesbreedinyouacontemptforthosewhoarethesubjectsoffollyorprejudice,orfosteranyloveofdisputeforitsownsake。Shouldyoubecomeauthors,expressyouropinionsfreely;defendthemrarely。Itisnotoftenthatanopinionisworthexpressing,whichcannottakecareofitself。

Oppositionisthebestmordanttofixthecolorofyourthoughtinthegeneralbelief。

Itistimetobringthesecrowdedremarkstoaclose。ThedayhasbeenwhenatthebeginningofacourseofLecturesIshouldhavethoughtitfittingtoexhortyoutodiligenceandentiredevotiontoyourtasksasstudents。Itisnotsonow。Theyoungmanwhohasnotheardtheclarion-voicesofhonorandofdutynowsoundingthroughouttheland,willheednowordofmine。Inthecamporthecity,inthefieldorthehospital,undershelteringroof,orhalf-protectingcanvas,oropensky,sheddingourownbloodorstanchingthatofourwoundeddefenders,studentsorteachers,whateverourcallingandourability,webelong,nottoourselves,buttoourimperilledcountry,whosedangerisourcalamity,whoseruinwouldbeourenslavement,whoserescueshallbeourearthlysalvation!

SCHOLASTICANDBEDSIDETEACHING。

AnIntroductoryLecturedeliveredbeforetheMedicalClassofHarvardUniversity,November6,1867。

Theideaisentertainedbysomeofourmostsincereprofessionalbrethren,thattolengthenandmultiplyourWinterLectureswillbeofnecessitytoadvancethecauseofmedicaleducation。Itisafairsubjectforconsiderationwhethertheydonotoverratetherelativeimportanceofthatparticularmodeofinstructionwhichformsthelargerpartofthesecourses。

AsthisSchoolcouldonlylengthenitslecturetermattheexpenseofits“SummerSession,“inwhichmoredirect,personal,andfamiliarteachingtakestheplaceofouracademicdiscourses,andinwhichmoretimecanbegiventohospitals,in

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