How Did Hale Williams Career Change After His First Heart Operation Performed In 1893?

In 18th century America, medicine was in a transition mode. While some pre-modern practices were still around, the 18th century saw the beginnings of a new modern medical practice. Replacing the passed down wisdom from the ancient world was clinical observation, the first American medical school, and experimental science, along with many physicians beginning to replace midwives. During the 18th century, a transition from pre-modern practices and theories to modern medical practice occurred because of medical education and the growth of hospitals, advances in medical procedures, and different types of medical practitioners.

The profession known as, Operating Department Practice can be followed back to the 18th century. This was a time where surgical procedures were performed in non-clinical areas due to the aseptic and sterile techniques not being practiced, as there was no understanding at this point, so it was not yet discovered.

Mr. Gawande starts his literature on washing hands. He introduces two friends a microbiologist and an infectious disease specialist. Both work hard and diligently against the spread of diseases just like Semmelweis who is mentioned in the chapter. Something I learned, that not many realize, is that each year two million people acquire an infection while they are in the hospital. Mainly because the clinicians only wash their hands one-third to one-half as many times as they should. Semmelweis, mentioned earlier, concluded in 1847 that doctors themselves were to blame for childbed fever, which was the leading cause of

In the preindustrial era, 1800s, the United States fell behind other countries in health services. There was no medical training until around 1870 (Shi & Singh, 2013). Medical training began with students training under the supervision of physicians. Physicians saw patients by making house calls. Health care was delivered in a free market (Shi & Singh, 2013). No one had insurance so costs were out of pocket. For most Americans, this was a problem and some rural areas relied on folk medicine to heal the sick. The medical institutions during this era were not sanitized properly and nurses were not trained to practice safety and hygiene care. The government provided facilities for elderly, chronically ill patients, and clinics that offered free care.

The logic and principles of medieval medicine shaped those of Modern medicine. Never was there a more efficient method perfected, so much that it remained through history through so many hundreds of years. Today’s concepts of diagnosis, relationships with the church, anatomy, surgery, hospitals and training, and public health were established in the Middle Ages.

A Steward’s job entailed dealing with minor injuries such as scrapes, bumps, and cuts not deep enough for surgical interaction. On the occasion, they would pull teeth and distribute medicine to the soldiers who needed help with pain management. If the Steward completed his duties in a good fashion, he would be allowed to step in and help with more serious cases such as amputations in hope that one day he would become a qualified surgeon. Since amputations were performed so frequently, it did not take much time in order to become qualified. These short “internships” through the Civil War proved to be ineffective as surgeons lacked knowledge in all aspects of the medical field.

It is hard to imagine in the twenty first century the level of filth that was experienced in the 1830’s on a daily basis. Sanitation, public health and sewer systems were problems that gripped the nation throughout the ninetieth century (1830-1860s), encouraging popular debate and proposal of changes. The growth of population and increase in the industry

Throughout the 18th and 19th centuries, as the country grew and trade flourished, periodic epidemics struck regions of the nation as population density increased. Outbreaks of influenza, cholera took over the nation, and in the south, one of the most prevalent was yellow fever. Due to these diseases, a lot of public health policies were either created or changed to better suit the new issues arising. In this essay, I will argue that the Yellow Fever Epidemic of 1878 brought upon many changes in the health realm in terms of public sanitation. In order to prove the epidemic s place in the history of health policies, I will be discussing the creation of the new sewer system, waste disposal techniques, and other projects created.

I unfortunately didn’t have enough time to of course to completely solidify my findings. But one thing that is for sure is that the Healthcare field grew in a short amount of time, there was so much intelligence back then that we only think of bone saw but in reality they had things that seemed to defy what should have been normal at the time, and this of course is just a start of my findings. For the research part on woman I found that surprisingly Florence Nightingale wasn’t technically the first Nurse. There had been a pioneer in England that you’ll find in one of my sources listed in the bibliography that isn’t necessarily relevant to make the point. Next I found that woman seemed to pioneer it as a means for a platform to build in a way the woman’s right moment and just because they wanted to help out. Especially when wars broke out there had been fewer men at home and more men in the Homefront. In total I believe that this topic could swing to a different topic in multiple ways such as Healthcare through the ages, the war, how men became nurses, the process of nursing school back then, and as you can see this also goes on. My one un-answered question is how they cured someone back then. There’s mostly home cures but no solid book from a professional that could tell me what exactly they did back then. Overall I believe I’ve covered this

Prior to 18th century Europe there were a few effective medical developments but most treatments lacked medical value. An idea developed by the ancient Greeks and Romans insisted that bloodletting was a fantastic remedy to difficult diseases but it did more harm than good (Doc 4). Another flaw in medicine is the level of hygiene in the institutions that provided care. The sick were crammed into dirty hospitals, dead lay beside those clinging to life, and the air was

On the other end of the society scale, the working poor were working and living in unbearable conditions. There were no irrigation systems, running water or any way of preserving hygiene in the homes or the factories. The working poor lived in slums and tenements which were breeding grounds for diseases. In the book, “The Condition of the Working-Class in England in 1844” by Friedrich Engels, he states, “...at the end of the covered passage, a privy without a door, so dirty that the inhabitants can pass into and out of the court only by passing through foul pools of stagnant urine and excrement.” (page 78)1. This gives us a peek into the horrible unsanitary conditions that the working class were forced to endure while the business owners were living in beautiful mansions and summer houses.

In the early 1800s, both in Europe and in the United States, physicians with formal medical training began to stress the idea that germs and social conditions might cause and spread disease, especially in cities. Many municipalities created "dispensaries" that dispensed medicines to the poor and offered free physician services. Epidemics of cholera, diphtheria, tuberculosis, and yellow fever, and concerns about sanitation and hygiene, led many city governments to create departments of health. New advances in studying bacteria were put to practical use as "germ theory" became the accepted cause for illness. It was in the face of epidemics and poor sanitation, government-sponsored public health, and healthcare that private healthcare began to systematically diverge.

The Roman Empire provided a healthier place to live than the Roman Republic because of its superior sanitation. According to the textbook, poor sanitation due to factors such as insufficient drainage had been a serious problem in Rome during the Republic but was reduced substantially during the Empire (164-165). At any time, public hygiene is an issue that affects the quality of life for everyone, including the “average” citizen. Poor sanitation can lead to the rapid spreading of diseases, which usually results in

3) Almost two-thirds of all surgical procedures are now performed in ambulatory surgery facilities. Discuss the reasons for this shift of surgery from the inpatient setting and its effect on hospitals and

The answer lies in the climate fostered in Victorian England. It was one of unparalleled progress due to exploding industrialization of cities with modern factories, production processes, and advanced engineering. This exciting era also brought momentous discoveries in Geology, Astronomy, and the sciences. Discoveries like electricity and vaccines made a huge difference in the citizen’s quality of life. However, even though there was much advancement, the unsafe sanitation