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The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine by Lindsey Fitzharris
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“The best that can be said about Victorian hospitals is that they were a slight improvement over their Georgian predecessors. That’s hardly a ringing endorsement when one considers that a hospital’s “Chief Bug-Catcher”—whose job it was to rid the mattresses of lice—was paid more than its surgeons.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“When a distinguished but elderly scientist states that something is possible, he is almost certainly right. When he states that something is impossible, he is almost certainly wrong. —ARTHUR C. CLARKE”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Remarkably, Bichat was able to describe and name twenty-one membranes in the human body, including connective, muscle, and nerve tissue, before he died accidentally in 1802 after falling down the steps of his own hospital.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“There are not many writers who would mention their divorce lawyer in the acknowledgments, but mine deserves special recognition. Farhana Shazady fought fiercely for my rights. Thank you for teaching me to value myself again.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“The adoption of Lister’s antiseptic system was the most prominent outward sign of the medical community’s acceptance of a germ theory, and it marked the epochal moment when medicine and science merged.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Anything that leads a man to think it a matter of indifference whether he writes or tells a lie is most pernicious,” Lister wrote; “he comes to write lies afterwards with the same indifference.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“If Lister had nursed any hope that his diligence and reasoned argument concerning his antiseptic system would convert the American audience, he would be sorely disappointed. One attendee accused him of being mentally unhinged and having a “grasshopper in the head.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“The symptoms syphilis engendered worsened over time. In addition to the unsightly skin ulcers that pockmarked the body in the later stages of the disease, many victims endured paralysis, blindness, dementia, and “saddle nose,” a grotesque deformity that occurs when the bridge of the nose caves into the face. (Syphilis was so common that “no nose clubs” sprang up all over London. One newspaper reported that “an eccentric gentleman, having taken a fancy to see a large party of noseless persons, invited every one thus afflicted, whom he met in the streets, to dine on a certain day at a tavern, where he formed them into a brotherhood.” The man, who assumed the alias of Mr. Crampton for these clandestine parties, entertained his noseless friends every month for a year until his death, at which time the group “unhappily dissolved.”)”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“His most famous (and possibly apocryphal) mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Lister understood that being in a hospital could be a terrifying experience and followed his own golden rule: “Every patient, even the most degraded, should be treated with the same care and regard as though he were the Prince of Wales himself.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“In 1884, the American physician William Pancoast injected sperm from his “best-looking” student into an anesthetized woman—without her knowledge—whose husband had been deemed infertile. Nine months later, she gave birth to a healthy baby. Pancoast eventually told her husband what he had done, but the two men decided to spare the woman the truth. Pancoast’s experiment remained a secret for twenty-five years.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“From the moment he looked through the lens of his father’s microscope to the day he was knighted by Queen Victoria, his life was shaped and influenced by his circumstances and the people around him. Like all of us, he saw his world through the prism of opinions held by those whom he admired most:”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Erysipelas was one of four major infections that plagued hospitals in the nineteenth century. The other three were hospital gangrene (ulcers that lead to decay of flesh, muscle, and bone), septicemia (blood poisoning), and pyemia (development of pus-filled abscesses).”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“As Lister’s methods evolved, skeptics characterized these constant modifications as admissions on his part that the original system did not work. They didn’t see these adjustments as part of the natural progression of a scientific process”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“When a distinguished but elderly scientist states that something is possible, he is almost certainly right. When he states that something is impossible, he is almost certainly wrong.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Let us not overlook the further great fact, that not only does science underlie sculpture, painting, music, poetry, but that science is itself poetic.… Those engaged in scientific researches constantly show us that they realize not less vividly, but more vividly, than others, the poetry of their subjects. —HERBERT SPENCER”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“In 1884, the American physician William Pancoast injected sperm from his “best-looking” student into an anesthetized woman—without her knowledge—whose husband had been deemed infertile. Nine months later, she gave birth to a healthy baby. Pancoast eventually told her husband what he had done, but the two men decided to spare the woman the truth. Pancoast’s experiment remained a secret for twenty-five years. After his death in 1909, the donor—a man ironically named Dr. Addison Davis Hard—confessed to the underhanded deed in a letter to Medical World.)”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Those engaged in scientific researches constantly show us that they realize not less vividly, but more vividly, than others, the poetry of their subjects. —HERBERT SPENCER”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“For the duration of the war, American surgery remained crude, and wound infections spread unchecked. The bullet-riddled arms and legs of more than thirty thousand Union soldiers were amputated by battlefield surgeons, many of whom had little or no experience of treating trauma patients. Knives and saws were wiped free of gore with nothing more than dirty rags, if at all. Surgeons never washed their hands and were often covered in the blood and guts of previous patients at the commencement of a new operation. When linen and cotton were scarce, army surgeons used cold, damp earth to pack open wounds. When these wounds inevitably began to suppurate, they were praised for their laudable pus. Many surgeons had never even witnessed a major amputation or treated gunshot wounds when they joined their regiments, much to the detriment of those who fell under their care.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Fashioned from nearly one million square feet of glass, the Crystal Palace was 1,851 feet long—a number deliberately chosen to reflect the year of the exhibition—and it boasted six times more floor space than St. Paul’s Cathedral. During its construction, contractors tested the building’s structural integrity by ordering three hundred compliant laborers to jump up and down on the flooring, and by having troops of soldiers march around its bays.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“As it turned out, the two decades immediately following the popularization of anesthesia saw surgical outcomes worsen. With their newfound confidence about operating without inflicting pain, surgeons became ever more willing to take up the knife, driving up the incidences of postoperative infection and shock. Operating theaters became filthier than ever as the number of surgeries increased. Surgeons still lacking an understanding of the causes of infection would operate on multiple patients in succession using the same unwashed instruments on each occasion. The more crowded the operating theater became, the less likely it was that even the most primitive sanitary precautions would be taken. Of those who went under the knife, many either died or never fully recovered and then spent the rest of their lives as invalids. This problem was universal. Patients worldwide came to further dread the word “hospital,” while the most skilled surgeons distrusted their own abilities.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“It was said of Liston by his colleagues that when he amputated, “the gleam of his knife was followed so instantaneously by the sound of sawing as to make the two actions appear almost simultaneous.” His left arm was reportedly so strong that he could use it as a tourniquet, while he wielded the knife in his right hand. This was a feat that required immense strength and dexterity, given that patients often struggled against the fear and agony of the surgeon’s assault. Liston could remove a leg in less than thirty seconds, and in order to keep both hands free, he often clasped the bloody knife between his teeth while working. Liston’s speed was both a gift and a curse. Once, he accidentally sliced off a patient’s testicle along with the leg he was amputating. His most famous (and possibly apocryphal) mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Liston’s speed was both a gift and a curse. Once, he accidentally sliced off a patient’s testicle along with the leg he was amputating. His most famous (and possibly apocryphal) mishap involved an operation during which he worked so rapidly that he took off three of his assistant’s fingers and, while switching blades, slashed a spectator’s coat. Both the assistant and the patient died later of gangrene, and the unfortunate bystander expired on the spot from fright. It is the only surgery in history said to have had a 300 percent fatality rate.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“O que antes era impossível passou a se realizável. O que antes fora inconcebível podia ser então imaginado. De repente, o futuro da medicina pareceu não ter limites.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“O papel do conhecimento e da metodologia científicos na prática médica - que foi central para que a profissão deixasse de ser uma arte sanguinolenta e se transformasse numa disciplina voltada para o futuro - ainda não tinha sido estabelecido”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Como observou com perspicácia um dos assistentes de Lister, 'uma nova e grande des coberta cientifica sempre tende a deixar em sua esteira muitas baixas, entre as reputações dos que foram defensores de um método mais antigo. Para eles, é difícil perdoar o homem que tornou insignificante o seu trabalho”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Lister fitou diretamente o rapaz antes de repreendê-lo: 'Como se atreve a me entregar um bisturi que não gostaria que fosse usado no senhor para ser utilizado neste pobre homem?”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Lister compreendia que está num hospital podia ser uma experiência apavorante, e seguia um princípio moral próprio: 'Todo paciente, até o mais degradado, deve ser tratado com o mesmo cuidado e a mesma consideração que se dariam ao próprio príncipe de Gales.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“O progresso sob a forma da urbanização e da industrialização se dava à custas das vidas humanas, mas o progresso sob a forma de ciência poderia fornecer respostas para problemas crescentes nos hospitais.”
Lindsey Fitzharris, The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
“Las discusiones médicas […] son accidentes inevitables del progreso científico. Son como tormentas que purifican la atmósfera; debemos resignarnos a ellas.”
Lindsey Fitzharris, De matasanos a cirujanos: Joseph Lister y la revolución que transformó el truculento mundo de la medicina victoriana

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