Medicines and Surgery.—One hundred years ago, the practice of medicine was, in the main, empirical. Certain effects were known to usually follow the giving of certain drugs, or the application of certain measures, but why or how these effects were produced, was unknown. The great steps forward have been made upon the true scientific foundation established by the discoveries and inventions in the fields of physics, chemistry and biology. The discovery of anaesthetics and their application in surgery and the practice of medicine, no doubt constitutes the leading invention of the century in this field.
Sir Humphry Davy suggested it in 1800, and Dr. W. T. Morton was the first to apply an anaesthetic to relieve pain in a surgical operation, which he did in a hospital in Boston in 1846. Both its original suggestion and application were also claimed by others.
Not only relief from intense pain to the patient during the operation, but immense advantages are gained by the long and careful examination afforded of injured or diseased parts, otherwise difficult or impossible in a conscious patient.
The exquisite pain and suffering endured previous to the use of anaesthetics often caused death by exhaustion. Many delicate operations can now be performed for the relief of long-continued diseases which before would have been hazardous or impossible. How many before suffered unto death long-drawn-out pain and disease rather than submit to the torture of the knife! How many lives have been saved, and how far advanced has become the knowledge of the human body and its painful diseases, by this beneficent remedy!
Inventions in the field of medicine consist chiefly in those innumerable compositions and compounds which have resulted from chemical discoveries. Gelatine capsules used to conceal unpalatable remedies may be mentioned as a most acceptable modern invention in this class. Inventions and discoveries in the field of surgery relate not only to instrumentalities but processes. The antiseptic treatment of wounds, by which the long and exhausting suppuration is avoided, is among the most notable of the latter. In instruments vast improvements have been made; special forms adapted for operation in every form of injury; in syringes, especially hypodermic, those used for subcutaneous injections of liquid remedies; inhalers for applying medicated vapours and devices for applying volatile anaesthetics, and devices for atomising and spraying liquids. In the United States alone about four thousand patents have been granted for inventions in surgical instruments.
Dentistry.—This art has been revolutionised during the century. Even in the time of Herodotus, one special set of physicians had the treatment of teeth; and artificial teeth have been known and used for many ages, but all seems crude and barbarous until these later days. In addition to the use of anaesthetics, improvements have been made in nearly every form of dental instruments, such as forceps, dental engines, pluggers, drills, hammers, etc., and in the means and materials for making teeth. Later leading inventions have reference to utilising the roots of destroyed teeth as supports on which to form bridges to which artificial teeth are secured, and to crowns for decayed teeth that still have a solid base.
There exists no longer the dread of the dentist’s chair unless the patient has neglected too long the visit. Pain cannot be all avoided, but it is ameliorated; and the new results in workmanship in the saving and in the making of teeth are vast improvements over the former methods.