Rare and peculiar

“How did it happen?” is a question every emergency physician will ask hundreds if not thousands of times during their career. The answer is usually mundane: “I fell off a ladder”; “I was playing rugby”; “I’d had a bit too much to drink.”  But just occasionally the patient is mysteriously coy about the reasons for their admission to hospital, suddenly … Read more

William Harvey at the Royal College of Physicians

The Royal College of Physicians in London, which celebrates its 500th anniversary later this year, is currently staging a small exhibition devoted to one of its most celebrated former Fellows. William Harvey was a prominent member of the College in the 17th century, when he was also personal physician to Charles I.  In 1628 he published De Motu Cordis, … Read more

Mr Trought’s tobacco enema

In June 1828 the Lancet published a pair of short case histories that contemporary readers must have found rather confusing. Printed on the same page, they both dealt with cases in which a strangulated hernia had been treated with a tobacco enema (yes, really: an infusion of tobacco administered via the anus). In the first case the treatment was a … Read more