Cholera Conundrum

Epidemiology, Famous Victorians

Max Joseph von Pettenkofer was a Bavarian chemist known for his research on practical hygiene and implementing many hygiene-related standards in German cities, including improving the state of drinking water, sewage disposal, and general cleanliness. 🚿 While all of this work positively contributed to public health, it was also a result of Pettenkofer’s alignment with the miasmatic theory rather than the germ theory of disease. 🌬️ And even though Pettenkofer did not deny the existence of bacteria, he thought they weren’t enough to cause sickness and had to be accompanied by bad living conditions, miasmatic air, and dirt in general. This belief made him at odds with Robert Koch, the discoverer of the bacterium responsible for cholera outbreaks and proponent of the germ theory of disease. 🔬 The two scientists did not see eye to eye with each other on how to deal with German cholera outbreaks in the 1880s, which only made things worse. 😷

Pettenkofer was so adamant that Koch was wrong that he decided to perform a perplexing experiment on himself in 1892 (when he was 74!). To prove that cholera could not develop without poor hygiene and subsoil rather than drinking water, he decided to drink a cholera bouillon laced with bacteria isolated from the stool of a person who had already died of that disease. 💀😱 To make sure his experiment was viable, he decided to do it in front of an audience and obtained the sample from Koch himself. He had also emptied his stomach beforehand and neutralized any leftover acid with sodium bicarbonate. 🤢

How this fantastic example of self-experimentation ended? After experiencing watery diarrhea for a week, Pettenkofer stated that he did NOT come down with cholera, and his symptoms were associated with something else. In reality, he contracted a mild case of cholera and was probably saved from death by the fact he already had had contact with the disease a few years earlier. 💀 When asked why he was willing to risk his own life, he stated “I would have looked Death quietly in the eye for mine would have been no foolish or cowardly suicide; I would have died in the service of science like a soldier on the field of honor.”

You can read more about this and other self-experiments in Who Goes First?

“A Christmas Tree with Lamps of Skulls”

Epidemiology, Medicine, Surgery

The San Francisco Call, December 27, I898
“A Christmas Tree with Lamps of Skulls”

The Vision That Appeared to a Demonstrator of Anatomy at Midnight.

It was 12 o’clock last Saturday night when Dr. W. O. Wllcox climbed the stairs of 21 Powell street to go to his room. It was just the time when graveyards yawn and give forth their dead; but the doctor had no reason to suppose the spirits of the air would haunt him in the privacy of his own chamber, so he opened the door without hesitation and stepped inside.

There was no need of striking alight. The room was illuminated by a score of prim and ghastly lamps, that clung to the green bangles of a Christmas tree standing upon a table. They were skulls, and the eyeless sockets flashed fire from within as they nodded their grisly heads to the swaying of the branches.

On the table under the bone-fruited tree were some of the doctor’s dissecting knives, gleaming balefully in the eye light from the skulls. There were crossed shinbones lying on the black tablecloth, white as the symbol of death on a pirate’s ensign, and more skulls— evidently windfalls from the boughs above. Between the jaws of one of these was a half-smoked cigarette, which the grinning head seemed to be thoroughly enjoying.

There were skeletons of hands, feet and other parts of the human bony building, mingled with the steel implements of surgical craft, and to many of these objects of cub-medico humor were attached cards bearing inscriptions as appropriate as witty.

By means of one of these inscriptions one skull complained bitterly of the unusually long time between drinks. Another, whose way in this world had probably strayed from the straight and narrow path, demanded ice and steam beer, while the head of a child declared it had been the victim of a mother’s neglect.

Dr. Wilcox is a demonstrator of anatomy in one of the colleges, and although the students of his class declare they never would do such a thing as desecrate a Christmas tree with the products of the grave, still the doctor is looking among them for the one who planned his pleasant Christmas surprise.

Source of the story: The San Francisco Call archive

Good Old Hospital Stink

Epidemiology, Medicine, Surgery

Last time we explored early 19th-century hospitals as the perfect breeding ground for insects and diseases. 🐜 In the pre-germ-theory world, dirty clothes, unwashed linens, festering wounds, and limited access to clean water were pretty standard for a hospital experience, followed by outbursts of such diseases like rubella or cholera. 💀 Unfortunately, many surgeons contributed to this situation by not washing their hands, not disinfecting surgical instruments, and … glorifying their blood-soaked frock coats and surgical aprons. 🩸

You see, it was believed that the dirtier the surgical attire, the more busy and successful its owner was. 💉 Some surgeons even wore clothes that had previously belonged to retired staff members as a sign of respect and keeping traditions alive. Those who wore “butcher’s aprons” mostly did so to protect their private, nice clothing and didn’t wash them anyway. As you can imagine, these pus- and blood-soaked, never-washed items were basically rotting and gave out a putrid smell which was lovingly referred to as “the good old hospital stink.” 🧀

The situation slowly began to change in the mid-19th century, when several doctors (e.g. Joseph Lister, Ignaz Semmelweis, Thomas Dent Mütter) tried to popularize washing the surgical attire and promoted the idea of cleanliness in general, for which they were often ridiculed. 🧼

To learn more about 19th century hospitals, check out Lindsey Fitzharris’ book The Butchering Art. A highly recommended read!