A Collection of Chirurgical Tracts

by William Beckett

At this Time, it being eighteen Days since I wrote to Mr Brown, I received a Letter from him, in which he mentioned nothing to the Purpose. This, I must confess, did not a little warm me; and I the same Night wrote to him again, but never received any Answer: Perhaps he thought mine too hot; if so, if he desires it, both mine, and his that occasioned it, shall be produced.

The Doctor seeing what had been done to have so good Effect, and hoping what was before advised by Mr Palmer and Mr Brown, would effectually prevent any return of his Disorder, resolved to use a Mercurial Unction. He had now more Strength, and therefore I complied with him; I began with a small Quantity, and encreased it every Time, until I had used even a larger Quantity than had been proposed by Dr Friend: But it not in the least affected the Glands, or made him to spit near so much, as when he took the Calomel; neither did the Unction or Calomel produce the Smell, which generally attends Mercurial Courses; and to my great Surprize and Concern, whilst he was using the Unction, the Ulcer broke out again. And by this we were discouraged from proceeding any farther; and in due Time the Doctor endeavoured to Purge this off, but he had always so untoward a Constitution, that neither now, nor at any Time before, could he by Purges have any regular Evacuation; which was, no doubt in his Case, very Injurious to him.

Now I perfectly desponded: But a Friend and Kinsman of the Doctor’s, a Surgeon of no small Reputation, assured him, that he had known, when other Methods failed, a Mercurial Fumigation had answered: And what is it that a rational Man will not try to prevent the excruciating Pains of a Cancer? When the Doctor mentioned this to me, I confessed I knew nothing of that Practice, and always had an ill Opinion of the Fumes of Mercury: And he also owned to me, that he was wholly unacquainted with it; but satisfied in his Friend, and therefore would try it: He began the Course according to his Friend’s Directions; I never pretended to order any thing afterwards; but however still frequently visited my Good Friend, though with an aking Heart. The Fumigation not only made him spit, whilst he was using it, but also for some Hours afterwards; and the Patient continued to use it for several Days, but without any good Effect upon the Ulcer. In about ten Days after he had left off the Fumigation, a very hard Tumour began to arise, upon the Muscles of the lower Part of the Face and Neck, and increased very fast, and in a very short Time spread it self from Ear to Ear: and, by the Bulk, in a great measure prevented his Swallowing, and soon suffocated him. He was Chearful, and to all outward Appearance tolerably easy to the last, and had what he now desired, a gentle Release, July 16, 1719.

And thus, to the Misfortune of Mankind, it is manifest to me, that Mercury is not adequate to this Herculean Distemper: but however, this Case, and That I mentioned before to the Doctor, gives me good Reason to believe, that Mercurials do at least blunt the Acrimony of the Humour, and so procure Ease. For, though that Patient had most acute Pains, before he entered into a Mercurial Course, yet afterwards he was easy all a long, as he told me; for I was called in but a few Days before he died. These, and other melancholly Cases, should not however, I think, wholly discourage Surgeons from making rational Attempts upon a Distemper, which I fear is more frequently met with, than formerly, in this Part of the World: It is to be hoped, there is in Nature a Specific that may answer; and happy will that Man be who shall discover it. He will deserve to be placed next to the Great Hippocrates, and also to be rewarded, by the Publick, equally with him that shall find out the Longitude.

I will not pretend to determine, how far the Fumigation might contribute to the sudden growth of the Tumour mentioned, but I should be very glad that the Surgeon who recommended it, would be so ingenuous, as to vindicate himself, by giving Instances of it’s Innocency, and of the Advantages he has met with in the Practice of it.

And now I heartily beg Pardon of the Friends of the Deceased, who shall give themselves the Trouble of Reading this Account, that I could not bring it into a narrower Compass.

Having truly related what was done, in the Case of Dr Keil, I hope it may appear, that I have acted an honest, and not an unskilful Part in it: If what was prescribed by others of greater Fame, when it came to be tried, had not better Success, I presume I shall no longer be blamed for it. No Man would willingly lose any Reputation, who is to live by it. I question not, but the best Surgeons in the World will allow, there are Cases for which there is no Remedy: And he who frankly owns thus much, no more loses any Reputation, than the Quack, that promises greater Matters than he afterwards performs, gets any: And I think they, who have censured me, would have done more ingenuously, if they would rather have looked upon the present Case as incurable by any Surgeon, than have thrown their Aspersions upon me, as not treating it properly.

N. B. The foregoing remarkable Case of Dr Keil, was published by Mr Rushworth of Northampton, Surgeon at Oxford, in the Year 1719[3]. Under the Imprimatur of Robert Shippen, Vice-Can. Oxon.

Some curious Observations made (by my Friend John Ranby, Esq; Surgeon to his Majesty’s Household, and F. R. S.) in the Dissection of Three Subjects, 1728.