Putting a patient to sleep (without anaesthetic)

Irritable patientsHave you ever wondered how patients in the era before anaesthetics were persuaded to undergo excruciatingly painful operations? The answer – fairly obviously – is ‘with great difficulty’. Some brave souls were able to grit their teeth and bear it, and others made things simpler for the surgeon (and themselves) by simply passing out from the pain.

Most difficult to … Read more

A medical old wives’ tale

hypochondriasisThis story, attributed to the great American physician Benjamin Rush and repeated in a medical journal in 1839, is almost certainly apocryphal – but it has a good punchline. 

We are apt to believe a merry companion the happiest fellow in the world, and envy him, perhaps, his light heart and airy spirits; but such men have hours of melancholy, Read more

Killed by a cough

brain forcedIn 1734 James Jamieson, a surgeon from Thurso in the Scottish borders reported this case in the Medical Essays and Observations.  It began with a common-or-garden accident:

Some Slates falling from the Roof of a House four Storeys high, upon the Head of a Girl about thirteen Years of Age, broke and shattered her Cranium at the Place where Read more

Dead or alive at will

In 1733 a book about depression and mental health was published in Dublin: The English Malady; or, A Treatise of Nervous Diseases of All Kinds, as Spleen, Vapours, Lowness of Spirits, Hypochondriacal and Hysterical Distemper. The author, George Cheyne – born a Scot, though he moved to London – was convinced that the English were uniquely prone to depressive … Read more

The seven-foot tumour

monstrous wombThis brief case report is a reminder that there are certain medical horrors which were once commonplace but which are never seen today in the developed world. Untreatable conditions would progress unhindered, often resulting in terrible deformity. Tumours could reach a size almost unimaginable to the modern mind – although in developing countries such cases do, sadly, still arise.

This … Read more