The first demonstration of the ether gas was performed at Massachusetts General Hospital in October, 1846, by a Boston dentist, William T. G. Morton. For the first time, surgical operations could be performed painlessly. Within two months, the invention was known and being applied in every capital of Europe, and in little more time it became commonplace internationally. The number of surgical operations vastly increased, as it was no longer necessary to hold patients down, and act very quickly.
Joseph Lister first used carbolic acid (phenol) to perform sterile surgery at the Glasgow Royal Infirmary, in August, 1865. This would have the effect of vastly increasing the survival rate from these now commonplace surgical operations. But the news took years to circulate, and by the twentieth century surgeons were still working with infected equipment in filthy environments. Indeed, I have read accounts of the horrors of battlefield medicine in the First World War: men with survivable injuries, lost by the hundred thousands from ignorant, unnecessarily unhygienic medical procedures.
As Dr Gawande points out — in passing — both advances made life easier on patients. But the second saved lives on a — vastly — greater scale. The first was unique, in making life easier for doctors, who no longer had to operate on screaming, writhing customers. This also, incidentally, hugely increased their trade, and thus their income. Washing up, effectively, only added nuisance.
I already knew this history — my mommy was a ward matron, after all — but until the comparison was spelt out, the full significance was lost on me. I had read the “official” versions in several standard medical histories. They assume the slow spread of antisepsis was a problem of communications. Gentle reader will note that this is a lie. Methods of communication did not slow in the generation between the two inventions.
David Warren, “Heaven, Hell, & Alder Hey”, Essays in idleness, 2018-05-09.
August 13, 2020
QotD: The discovery of anaesthesia and antisepsis
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