from President Garfield: From Radical to Unifier by C. W. Goodyear:
Enlightenment glimmered in far-off corners of the profession. A British surgeon named Dr. Joseph Lister had theorized that bodily infections were not due to internal fluid imbalances, but rather tiny invisible organic invaders entering patients from without. Lister’s experiments dousing cuts, operating theaters, and scalpels with carbolic acid promptly cut rates of “paennia, hospital gangrene, or erysipelas” in his wards to near-zero. Afterward, he shared his findings (and new revulsion for pus and “putrid exhalations”) with medical societies in Britain and overseas. Yet America’s ruling class of doctors had tutted in dismissive disdain. “In order to successfully practice Mr. Lister’s antiseptic method,” one sniffed, declining even to give the Brit his due title, “it is necessary that we should believe, or act as if we believed, the atmosphere to be loaded with germs.”
A few more open-minded American practitioners did, albeit imperfectly or half-heartedly. They would flick acid over a patient’s wound, only to then sneeze into their hands and spit onto their needles before setting to work. Others tried to innovate upon Lister’s idea. One man in Missouri even invented a custom antiseptic solution named in the doctor’s honor. “Listerine” would sell middlingly, however, until sellers learned to market it as a way to clean mouths instead of wounds.
Saturday, October 7, 2023
Friday, October 6, 2023
the last book I ever read (President Garfield: From Radical to Unifier by C. W. Goodyear, excerpt twelve)
from President Garfield: From Radical to Unifier by C. W. Goodyear:
Regrettably, though, a modern reader must conclude that this eminence did not really count for much. None of Garfield’s doctors exemplified the immature, underdeveloped state of their profession better than their leader, Willard Bliss—the rare physician to have, by middle age, earned the esteem of statesmen and poets: Lincoln had appointed him to be a division surgeon in the Army of the Potomac during the Civil War, while Walt Whitman (impressed by Bliss’s skill with a bonesaw) described him as “one of the best surgeons in the Army.” Bliss also possessed that most invaluable and timeless of medical traits: an immaculate bedside manner. His peers had never seen another doctor be so attentive to patients.
And yet, Bliss’s mastery of the tactile aspects of his craft was countered by a curious faith in metaphysics and pseudoscience. Deft at fixing torn arteries, Bliss also had a near-irrepressible curiosity for quack treatments, which he mistook for scientific breakthroughs. The intangible inner processes of the body remained in great part a mystery to him—so much so, that he did not understand how little he knew about them. Bliss had spent years promoting an Andean herb as the cure for “cancer, syphilis, ulcers… and all chronic blood diseases.” This belief helped get him booted, briefly, from the District of Columbia Medical Society.
The exile did not last long, though, for the entire field of American medicine was also in a state of flux—oscillating, like much of the rest of the country, between rational and irrational forces by the end of the nineteenth century. The nation was mechanizing, but its doctors still often conducted their work as if it were the dark ages. Bloodletting and blistering remained in use—the same treatments that had hastened the death of Garfield’s father, Abram, a half-century before. More “fashionable surgeons” in other wards looked down on such outdated ideas, but still used animal sinew instead of thread to sew up incisions.
Regrettably, though, a modern reader must conclude that this eminence did not really count for much. None of Garfield’s doctors exemplified the immature, underdeveloped state of their profession better than their leader, Willard Bliss—the rare physician to have, by middle age, earned the esteem of statesmen and poets: Lincoln had appointed him to be a division surgeon in the Army of the Potomac during the Civil War, while Walt Whitman (impressed by Bliss’s skill with a bonesaw) described him as “one of the best surgeons in the Army.” Bliss also possessed that most invaluable and timeless of medical traits: an immaculate bedside manner. His peers had never seen another doctor be so attentive to patients.
And yet, Bliss’s mastery of the tactile aspects of his craft was countered by a curious faith in metaphysics and pseudoscience. Deft at fixing torn arteries, Bliss also had a near-irrepressible curiosity for quack treatments, which he mistook for scientific breakthroughs. The intangible inner processes of the body remained in great part a mystery to him—so much so, that he did not understand how little he knew about them. Bliss had spent years promoting an Andean herb as the cure for “cancer, syphilis, ulcers… and all chronic blood diseases.” This belief helped get him booted, briefly, from the District of Columbia Medical Society.
The exile did not last long, though, for the entire field of American medicine was also in a state of flux—oscillating, like much of the rest of the country, between rational and irrational forces by the end of the nineteenth century. The nation was mechanizing, but its doctors still often conducted their work as if it were the dark ages. Bloodletting and blistering remained in use—the same treatments that had hastened the death of Garfield’s father, Abram, a half-century before. More “fashionable surgeons” in other wards looked down on such outdated ideas, but still used animal sinew instead of thread to sew up incisions.
Thursday, October 5, 2023
the last book I ever read (President Garfield: From Radical to Unifier by C. W. Goodyear, excerpt eleven)
from President Garfield: From Radical to Unifier by C. W. Goodyear:
Garfield’s were only beginning. His right arm stung; in his back throbbed a deeper ache; his feet prickled with electric, nervous pain. But, not five minutes after the shooting, worse discomfort started coming from an outside source: his doctors. The first to arrive poured brandy and ammonia salts down the president’s throat, then turned him over for what established practice deemed a necessity. Flicking aside a clot on the small of the patient’s back, the physician sank a finger into the gunshot wound to try tracing the path of the slug still within.
As new medics reached the depot, each insisted on repeating the torture. Grimy digits, attached to men who did not yet believe in washing their hands, tunneled past shattered ribs to burrow into the president. Metal probes followed, but got hooked on bone shards at a depth of three inches. Pushing down on Garfield’s sternum was necessary to free these instruments. Coating them, imperceptible to the naked eye (and fictional, to many of those in the American medical community) were millions of living microbial poisons, now seeded across the president’s abdomen.
Garfield’s were only beginning. His right arm stung; in his back throbbed a deeper ache; his feet prickled with electric, nervous pain. But, not five minutes after the shooting, worse discomfort started coming from an outside source: his doctors. The first to arrive poured brandy and ammonia salts down the president’s throat, then turned him over for what established practice deemed a necessity. Flicking aside a clot on the small of the patient’s back, the physician sank a finger into the gunshot wound to try tracing the path of the slug still within.
As new medics reached the depot, each insisted on repeating the torture. Grimy digits, attached to men who did not yet believe in washing their hands, tunneled past shattered ribs to burrow into the president. Metal probes followed, but got hooked on bone shards at a depth of three inches. Pushing down on Garfield’s sternum was necessary to free these instruments. Coating them, imperceptible to the naked eye (and fictional, to many of those in the American medical community) were millions of living microbial poisons, now seeded across the president’s abdomen.
Wednesday, October 4, 2023
the last book I ever read (President Garfield: From Radical to Unifier by C. W. Goodyear, excerpt ten)
from President Garfield: From Radical to Unifier by C. W. Goodyear:
The stricken president had since been hauled on a hay-and-horsehair mattress to the station’s second floor. Opening his eyes, he beheld a strange collection of faces: his sons’, weeping; his cabinet’s, stunned. Few were paler than that of Secretary Lincoln, who had witnessed the attack from about forty feet away, then sprinted to the station’s telegraph room to summon troops and doctors to the scene. That done, the secretary of War had realized how ironic his presence was.
“My god,” Lincoln was soon saying aloud. “How many hours of suffering I have passed in this town.”
The stricken president had since been hauled on a hay-and-horsehair mattress to the station’s second floor. Opening his eyes, he beheld a strange collection of faces: his sons’, weeping; his cabinet’s, stunned. Few were paler than that of Secretary Lincoln, who had witnessed the attack from about forty feet away, then sprinted to the station’s telegraph room to summon troops and doctors to the scene. That done, the secretary of War had realized how ironic his presence was.
“My god,” Lincoln was soon saying aloud. “How many hours of suffering I have passed in this town.”
Tuesday, October 3, 2023
the last book I ever read (President Garfield: From Radical to Unifier by C. W. Goodyear, excerpt nine)
from President Garfield: From Radical to Unifier by C. W. Goodyear:
An escape was in order; halfway through June, the president took Crete and his secretaries to Elberon, a town on the New Jersey shoreline. Cabinet meetings were held beside the azure-blue Atlantic. “The worry and work of Washington seems very far away… I have always felt that the ocean was my friend,” Garfield mused.
An escape was in order; halfway through June, the president took Crete and his secretaries to Elberon, a town on the New Jersey shoreline. Cabinet meetings were held beside the azure-blue Atlantic. “The worry and work of Washington seems very far away… I have always felt that the ocean was my friend,” Garfield mused.
Monday, October 2, 2023
the last book I ever read (President Garfield: From Radical to Unifier by C. W. Goodyear, excerpt eight)
from President Garfield: From Radical to Unifier by C. W. Goodyear:
Secretly, in another part of Chicago, one of them considered doing so anyway. Despite what millions of Americans thought (for much mud had been thrown on his name by the White House’s current tenant) there was decency hidden under Chester Arthur’s swooping whiskers and oval frame. It had always been there, albeit buried beneath more evident traits: an affection for high living, a yearning for camaraderie, and a moral spine just pliable enough to yield to both. A friend recalled that, as a child in Vermont, Arthur was good at directing other boys as they built miniature dams out of mud, only standing just far enough away to keep his own hands clean.
A career that began in civil rights law and military service in New York had tapered off into the cozy confines of Conkling’s postwar power structure. Arthur rose through the Stalwart ranks quickly, putting his cut of the spoils to use along the way. Starting his days in fine, fuzzy tweed, he liked to throw on darker attire in the afternoons; by dusk the “Gentleman Boss” would typically change into a tuxedo that kept his folds hugged tight. He did not stay nearly as attentive (or close) to his wife, the socialite Ellen “Nell” Arthur. The customhouse collector instead spent his nights tinkering with machine business over brandy until the early morning.
In the second half of the Hayes administration, Arthur’s good fortune fell apart: the president finally managed to oust him from his prized customhouse role in 1878. Then, in January 1880, came a more rattling blow: Nell caught a fatal case of pneumonia while Arthur was again away on business. He would forever regret how he lived before Nell’s passing, and he did not know how to do so after. “Honors to me now are not what they once were,” Arthur told a friend.
Except, it seems, the vice presidency. Arthur was shocked to be offered the job by the Ohioans. His expertise lay in rigging elections as a boss, not winning them as a candidate—he had never even run for office before. Meanwhile, other Republicans were already hailing Garfield’s nomination as a Waterloo for the Stalwarts. “My mind enjoys inexpressible peace at the breaking up of the machine,” one reformer soon expounded to a journalist in New York.
Secretly, in another part of Chicago, one of them considered doing so anyway. Despite what millions of Americans thought (for much mud had been thrown on his name by the White House’s current tenant) there was decency hidden under Chester Arthur’s swooping whiskers and oval frame. It had always been there, albeit buried beneath more evident traits: an affection for high living, a yearning for camaraderie, and a moral spine just pliable enough to yield to both. A friend recalled that, as a child in Vermont, Arthur was good at directing other boys as they built miniature dams out of mud, only standing just far enough away to keep his own hands clean.
A career that began in civil rights law and military service in New York had tapered off into the cozy confines of Conkling’s postwar power structure. Arthur rose through the Stalwart ranks quickly, putting his cut of the spoils to use along the way. Starting his days in fine, fuzzy tweed, he liked to throw on darker attire in the afternoons; by dusk the “Gentleman Boss” would typically change into a tuxedo that kept his folds hugged tight. He did not stay nearly as attentive (or close) to his wife, the socialite Ellen “Nell” Arthur. The customhouse collector instead spent his nights tinkering with machine business over brandy until the early morning.
In the second half of the Hayes administration, Arthur’s good fortune fell apart: the president finally managed to oust him from his prized customhouse role in 1878. Then, in January 1880, came a more rattling blow: Nell caught a fatal case of pneumonia while Arthur was again away on business. He would forever regret how he lived before Nell’s passing, and he did not know how to do so after. “Honors to me now are not what they once were,” Arthur told a friend.
Except, it seems, the vice presidency. Arthur was shocked to be offered the job by the Ohioans. His expertise lay in rigging elections as a boss, not winning them as a candidate—he had never even run for office before. Meanwhile, other Republicans were already hailing Garfield’s nomination as a Waterloo for the Stalwarts. “My mind enjoys inexpressible peace at the breaking up of the machine,” one reformer soon expounded to a journalist in New York.
Sunday, October 1, 2023
the last book I ever read (President Garfield: From Radical to Unifier by C. W. Goodyear, excerpt seven)
from President Garfield: From Radical to Unifier by C. W. Goodyear:
In 1887, President Grover Cleveland would sign the Electoral Count Act into law, expressly to ensure the fiasco of a decade prior could never repeat. Hereafter, Congress would have to be in session at one o’clock on the afternoon of January 6 following every presidential election to formalize the results; representatives and senators would have limited authority to challenge certificates submitted by states; the vice president would serve as presiding officer but, likewise, not have the power to invalidate election returns.
“Should another Presidential crisis ever confront the country, this new law will be found of vital importance,” predicted the San Francisco Examiner.
In 1887, President Grover Cleveland would sign the Electoral Count Act into law, expressly to ensure the fiasco of a decade prior could never repeat. Hereafter, Congress would have to be in session at one o’clock on the afternoon of January 6 following every presidential election to formalize the results; representatives and senators would have limited authority to challenge certificates submitted by states; the vice president would serve as presiding officer but, likewise, not have the power to invalidate election returns.
“Should another Presidential crisis ever confront the country, this new law will be found of vital importance,” predicted the San Francisco Examiner.
Subscribe to:
Posts (Atom)
