Over the course of a single generation, without significant discussion or debate, a key practice of traditional medicine was almost completely abandoned in mid-nineteenth-century Europe. K. Codell Carter's book describes how and why bloodletting was abandoned, noting that it was part of a process in which innovation was required so that modern scientific medicine could begin. This book is a masterful study on the collapse of a traditional medical practice. Bloodletting had been a prominent medical therapy in early nineteenth-century Europe and can be traced back to Greek and Roman physicians. The Hippocratic corpus contains several discussions of bloodletting. Galen, the most famous physician in classical antiquity, wrote tracts explaining and defending the practice. It was employed in ancient Egypt and is the most commonly mentioned therapy in the Babylonian Talmud. Indeed, it was practiced in virtually every part of the ancient world. Even though the practice abruptly ceased, there was little argument against it or reason to believe it ineffective. In reality, bloodletting actually worked. However, the rise of modern medicine required not just a change in how disease and causation were conceived, but also a change in the role of medicine in society. It has been claimed that the collapse of traditional medicine was a precondition for the rise of modern medicine, but there has been little support for this assertion before now. Carter provides this missing support. The result is a fascinating study in the history of medical practice and social expectations.
In the nineteenth century, tens of thousands of women died each year from childbed fever. The Carters describe birthing conditions and medical practices in Vienna during the time when young Semmelweis began to work in a maternity clinic there. He discovered that childbed fever arose because medical personnel did not wash adequately after dissecting corpses before doing vaginal examinations of women in labor. After he required students to disinfect themselves, the mortality rate immediately dropped. However, Semmelweis's views were not accepted by the senior physicians who believed the disease was due to a variety of causes. After strident attempts to persuade skeptics, Semmelweis was committed to a Viennese insane asylum where he died at age 42, possibly from beatings by asylum guards. Childbed fever, now called puerperal infection, continues to be a leading cause of maternal mortality, in spite of the best efforts of modern physicians.
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