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September 1983

The Changing Mission and Status of Surgery 1780 to 1980

Arch Surg. 1983;118(9):1013-1018. doi:10.1001/archsurg.1983.01390090003001

By about 1750, medicine and surgery in the American Colonies had become somewhat more sophisticated than in the past. Smallpox inoculation had been introduced by a surgeon in 17211 and was widely used, although vaccination, introduced in 1798, soon surpassed it.2 Digitalis, extensively used after its description by William Withering (1741-1799) in 1783, was coming into cultivation and common use in this country. Chemistry was undergoing its birth pangs at the hands of Lavoisier (1743-1794) and Priestley (1733-1804) in France and England. Some roots, herbs, berries, and barks, such as those of belladonna and cinchona, were extracted or used raw as drugs. Heavy metals, especially arsenic and mercury, were used by both physicians and surgeons for a variety of purposes, some of which might seem ridiculous today. Amputation for compound fracture, closed reduction for simple fracture, and lancing of abscesses were often performed competently.

There were more and

Winslow OA: A Destroying Angel: The Conquest of Smallpox in Colonial Boston . Boston, Houghton Mifflin Co, 1974.
Jenner E: An Inquiry Into the Causes and Effects of Variolae Vaccinae or Cow-Pox . London, 1798.
Donaldson GA:  Nathan Smith, the first all-New England surgeon . Am J Surg 1978;135:471-479.Article
Altemeier WA:  Daniel Drake . Ann Surg 1969;170:528-530.Article
Drake D: Practical Remarks on Medical Education and the Medical Profession in the United States . Cincinnati, 1832.
Vaughan AT: The New England Frontier: Puritans and Indians 1620-1675 . New York, WW Norton & Co Inc Publishers, 1965.
Moore FD:  In medicine veritas: The birth and turbulent youth of the faculty of medicine at Harvard College . N Engl J Med 1982;307:917-925.Article
Churchill ED: To Work in the Vineyard of Surgery: The Reminiscences of J. Collins Warren (1842-1927) . Cambridge, Mass, Harvard University Press, 1958.
Jackson J: Memoir on the Last Sickness of General Washington . Boston, privately printed, 1860.
Perkins J, cited by Wigglesworth WC:  Surgery in Massachusetts 1620-1800 , in Allis FD Jr (ed): Medicine in Colonial Massachusetts 1620-1820 . Boston, The Colonial Society, 1980.
Moore FD:  Zabdiel Boylston and colonial surgery . Bull Am Coll Surg , (May) 1983, pp 13-17.
Fitzpatrick JC (ed): The Writings of George Washington: From the Original Manuscript Sources; 1745-1799 . George Washington Bicentennial Commission, 1932, vol 6, p 113.
Jones J: Plain Concise Practical Remarks on the Treatment of Wounds and Fractures, for Camp or Military Hospital . Philadelphia, Bell, 1776.
Dorsey JS: Elements of Surgery for the Use of Students . Philadelphia, Edward Parker, 1813.
Beaumont W: Experiments and Observations on the Gastric Juice and the Physiology of Digestion . Plattsburgh, NY, FP Allen, 1833.
Bernard C: Introduction a l'étude de la medecine experimentale . Paris, JB Bailliere, 1865.
Vallery-Radot R: La vie de Pasteur . Paris, 1900.
Moore FD, Lang SM:  Board-certified physicians in the United States . N Engl J Med 1981;304:1078-1084.Article