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m¡¡per¡¡anatomen¡¡indagatis¡¡was¡¡the¡¡largest£»¡¡most¡¡accurate£»¡¡and¡¡best¡­illustrated¡¡collection¡¡of¡¡cases¡¡that¡¡had¡¡ever¡¡been¡¡brought¡¡together£»¡¡and¡¡marks¡¡an¡¡epoch¡¡in¡¡medical¡¡science¡£¡¡From¡¡the¡¡time¡¡of¡¡the¡¡publication¡¡of¡¡Morgagni's¡¡researches£»¡¡morbid¡¡anatomy¡¡became¡¡a¡¡recognized¡¡branch¡¡of¡¡the¡¡medical¡¡science£»¡¡and¡¡the¡¡effect¡¡of¡¡the¡¡impetus¡¡thus¡¡given¡¡it¡¡has¡¡been¡¡steadily¡¡increasing¡¡since¡¡that¡¡time¡£


WILLIAM¡¡HUNTER

William¡¡Hunter¡¡£¨1718¡­1783£©¡¡must¡¡always¡¡be¡¡remembered¡¡as¡¡one¡¡of¡¡the¡¡greatest¡¡physicians¡¡and¡¡anatomists¡¡of¡¡the¡¡eighteenth¡¡century£»¡¡and¡¡particularly¡¡as¡¡the¡¡first¡¡great¡¡teacher¡¡of¡¡anatomy¡¡in¡¡England£»¡¡but¡¡his¡¡fame¡¡has¡¡been¡¡somewhat¡¡overshadowed¡¡by¡¡that¡¡of¡¡his¡¡younger¡¡brother¡¡John¡£

Hunter¡¡had¡¡been¡¡intended¡¡and¡¡educated¡¡for¡¡the¡¡Church£»¡¡but¡¡on¡¡the¡¡advice¡¡of¡¡the¡¡surgeon¡¡William¡¡Cullen¡¡he¡¡turned¡¡his¡¡attention¡¡to¡¡the¡¡study¡¡of¡¡medicine¡£¡¡His¡¡first¡¡attempt¡¡at¡¡teaching¡¡was¡¡in¡¡1746£»¡¡when¡¡he¡¡delivered¡¡a¡¡series¡¡of¡¡lectures¡¡on¡¡surgery¡¡for¡¡the¡¡Society¡¡of¡¡Naval¡¡Practitioners¡£¡¡¡¡These¡¡lectures¡¡proved¡¡so¡¡interesting¡¡and¡¡instructive¡¡that¡¡he¡¡was¡¡at¡¡once¡¡invited¡¡to¡¡give¡¡others£»¡¡and¡¡his¡¡reputation¡¡as¡¡a¡¡lecturer¡¡was¡¡soon¡¡established¡£¡¡He¡¡was¡¡a¡¡natural¡¡orator¡¡and¡¡story¡­teller£»¡¡and¡¡he¡¡combined¡¡with¡¡these¡¡attractive¡¡qualities¡¡that¡¡of¡¡thoroughness¡¡and¡¡clearness¡¡in¡¡demonstrations£»¡¡and¡¡although¡¡his¡¡lectures¡¡were¡¡two¡¡hours¡¡long¡¡he¡¡made¡¡them¡¡so¡¡full¡¡of¡¡interest¡¡that¡¡his¡¡pupils¡¡seldom¡¡tired¡¡of¡¡listening¡£¡¡¡¡He¡¡believed¡¡that¡¡he¡¡could¡¡do¡¡greater¡¡good¡¡to¡¡the¡¡world¡¡by¡¡¡¨publicly¡¡teaching¡¡his¡¡art¡¡than¡¡by¡¡practising¡¡it£»¡¨¡¡and¡¡even¡¡during¡¡the¡¡last¡¡few¡¡days¡¡of¡¡his¡¡life£»¡¡when¡¡he¡¡was¡¡so¡¡weak¡¡that¡¡his¡¡friends¡¡remonstrated¡¡against¡¡it£»¡¡he¡¡continued¡¡his¡¡teaching£»¡¡fainting¡¡from¡¡exhaustion¡¡at¡¡the¡¡end¡¡of¡¡his¡¡last¡¡lecture£»¡¡which¡¡preceded¡¡his¡¡death¡¡by¡¡only¡¡a¡¡few¡¡days¡£

For¡¡many¡¡years¡¡it¡¡was¡¡Hunter's¡¡ambition¡¡to¡¡establish¡¡a¡¡museum¡¡where¡¡the¡¡study¡¡of¡¡anatomy£»¡¡surgery£»¡¡and¡¡medicine¡¡might¡¡be¡¡advanced£»¡¡and¡¡in¡¡1765¡¡he¡¡asked¡¡for¡¡a¡¡grant¡¡of¡¡a¡¡plot¡¡of¡¡ground¡¡for¡¡this¡¡purpose£»¡¡offering¡¡to¡¡spend¡¡seven¡¡thousand¡¡pounds¡¡on¡¡its£»¡¡erection¡¡besides¡¡endowing¡¡it¡¡with¡¡a¡¡professorship¡¡of¡¡anatomy¡£¡¡Not¡¡being¡¡able¡¡to¡¡obtain¡¡this¡¡grant£»¡¡however£»¡¡he¡¡built¡¡a¡¡house£»¡¡in¡¡which¡¡were¡¡lecture¡¡and¡¡dissecting¡¡rooms£»¡¡and¡¡his¡¡museum¡£¡¡In¡¡this¡¡museum¡¡were¡¡anatomical¡¡preparations£»¡¡coins£»¡¡minerals£»¡¡and¡¡natural¡­history¡¡specimens¡£

Hunter's¡¡weakness¡¡was¡¡his¡¡love¡¡of¡¡controversy¡¡and¡¡his¡¡resentment¡¡of¡¡contradiction¡£¡¡¡¡This¡¡brought¡¡him¡¡into¡¡strained¡¡relations¡¡with¡¡many¡¡of¡¡the¡¡leading¡¡physicians¡¡of¡¡his¡¡time£»¡¡notably¡¡his¡¡own¡¡brother¡¡John£»¡¡who¡¡himself¡¡was¡¡probably¡¡not¡¡entirely¡¡free¡¡from¡¡blame¡¡in¡¡the¡¡matter¡£¡¡Hunter¡¡is¡¡said¡¡to¡¡have¡¡excused¡¡his¡¡own¡¡irritability¡¡on¡¡the¡¡grounds¡¡that¡¡being¡¡an¡¡anatomist£»¡¡and¡¡accustomed¡¡to¡¡¡¨the¡¡passive¡¡submission¡¡of¡¡dead¡¡bodies£»¡¨¡¡contradictions¡¡became¡¡the¡¡more¡¡unbearable¡£¡¡Many¡¡of¡¡the¡¡physiological¡¡researches¡¡begun¡¡by¡¡him¡¡were¡¡carried¡¡on¡¡and¡¡perfected¡¡by¡¡his¡¡more¡¡famous¡¡brother£»¡¡particularly¡¡his¡¡investigations¡¡of¡¡the¡¡capillaries£»¡¡but¡¡he¡¡added¡¡much¡¡to¡¡the¡¡anatomical¡¡knowledge¡¡of¡¡several¡¡structures¡¡of¡¡the¡¡body£»¡¡notably¡¡as¡¡to¡¡the¡¡structure¡¡of¡¡cartilages¡¡and¡¡joints¡£


JOHN¡¡HUNTER

In¡¡Abbot¡¡Islip's¡¡chapel¡¡in¡¡Westminster¡¡Abbey£»¡¡close¡¡to¡¡the¡¡resting¡­place¡¡of¡¡Ben¡¡Jonson£»¡¡rest¡¡the¡¡remains¡¡of¡¡John¡¡Hunter¡¡£¨1728¡­1793£©£»¡¡famous¡¡in¡¡the¡¡annals¡¡of¡¡medicine¡¡as¡¡among¡¡the¡¡greatest¡¡physiologists¡¡and¡¡surgeons¡¡that¡¡the¡¡world¡¡has¡¡ever¡¡produced£º¡¡a¡¡man¡¡whose¡¡discoveries¡¡and¡¡inventions¡¡are¡¡counted¡¡by¡¡scores£»¡¡and¡¡whose¡¡field¡¡of¡¡research¡¡was¡¡only¡¡limited¡¡by¡¡the¡¡outermost¡¡boundaries¡¡of¡¡eighteenth¡­century¡¡science£»¡¡although¡¡his¡¡efforts¡¡were¡¡directed¡¡chiefly¡¡along¡¡the¡¡lines¡¡of¡¡his¡¡profession¡£

Until¡¡about¡¡twenty¡¡years¡¡of¡¡age¡¡young¡¡Hunter¡¡had¡¡shown¡¡little¡¡aptitude¡¡for¡¡study£»¡¡being¡¡unusually¡¡fond¡¡of¡¡out¡­door¡¡sports¡¡and¡¡amusements£»¡¡but¡¡about¡¡that¡¡time£»¡¡realizing¡¡that¡¡some¡¡occupation¡¡must¡¡be¡¡selected£»¡¡he¡¡asked¡¡permission¡¡of¡¡his¡¡brother¡¡William¡¡to¡¡attempt¡¡some¡¡dissections¡¡in¡¡his¡¡anatomical¡¡school¡¡in¡¡London¡£¡¡¡¡To¡¡the¡¡surprise¡¡of¡¡his¡¡brother¡¡he¡¡made¡¡this¡¡dissection¡¡unusually¡¡well£»¡¡and¡¡being¡¡given¡¡a¡¡second£»¡¡he¡¡acquitted¡¡himself¡¡with¡¡such¡¡skill¡¡that¡¡his¡¡brother¡¡at¡¡once¡¡predicted¡¡that¡¡he¡¡would¡¡become¡¡a¡¡great¡¡anatomist¡£¡¡¡¡Up¡¡to¡¡this¡¡time¡¡he¡¡had¡¡had¡¡no¡¡training¡¡of¡¡any¡¡kind¡¡to¡¡prepare¡¡him¡¡for¡¡his¡¡professional¡¡career£»¡¡and¡¡knew¡¡little¡¡of¡¡Greek¡¡or¡¡Latinlanguages¡¡entirely¡¡unnecessary¡¡for¡¡him£»¡¡as¡¡he¡¡proved¡¡in¡¡all¡¡of¡¡his¡¡life¡¡work¡£¡¡¡¡Ottley¡¡tells¡¡the¡¡story¡¡that£»¡¡when¡¡twitted¡¡with¡¡this¡¡lack¡¡of¡¡knowledge¡¡of¡¡the¡¡¡¨dead¡¡languages¡¨¡¡in¡¡after¡¡life£»¡¡he¡¡said¡¡of¡¡his¡¡opponent£»¡¡¡¨I¡¡could¡¡teach¡¡him¡¡that¡¡on¡¡the¡¡dead¡¡body¡¡which¡¡he¡¡never¡¡knew¡¡in¡¡any¡¡language£»¡¡dead¡¡or¡¡living¡£¡¨

By¡¡his¡¡second¡¡year¡¡in¡¡dissection¡¡he¡¡had¡¡become¡¡so¡¡skilful¡¡that¡¡he¡¡was¡¡given¡¡charge¡¡of¡¡some¡¡of¡¡the¡¡classes¡¡in¡¡his¡¡brother's¡¡school£»¡¡in¡¡1754¡¡he¡¡became¡¡a¡¡surgeon's¡¡pupil¡¡in¡¡St¡£¡¡George's¡¡Hospital£»¡¡and¡¡two¡¡years¡¡later¡¡house¡­surgeon¡£¡¡Having¡¡by¡¡overwork¡¡brought¡¡on¡¡symptoms¡¡that¡¡seemed¡¡to¡¡threaten¡¡consumption£»¡¡he¡¡accepted¡¡the¡¡position¡¡of¡¡staff¡­surgeon¡¡to¡¡an¡¡expedition¡¡to¡¡Belleisle¡¡in¡¡1760£»¡¡and¡¡two¡¡years¡¡later¡¡was¡¡serving¡¡with¡¡the¡¡English¡¡army¡¡at¡¡Portugal¡£¡¡¡¡During¡¡all¡¡this¡¡time¡¡he¡¡was¡¡constantly¡¡engaged¡¡in¡¡scientific¡¡researches£»¡¡many¡¡of¡¡which£»¡¡such¡¡as¡¡his¡¡observations¡¡of¡¡gun¡­shot¡¡wounds£»¡¡he¡¡put¡¡to¡¡excellent¡¡use¡¡in¡¡later¡¡life¡£¡¡On¡¡returning¡¡to¡¡England¡¡much¡¡improved¡¡in¡¡health¡¡in¡¡1763£»¡¡he¡¡entered¡¡at¡¡once¡¡upon¡¡his¡¡career¡¡as¡¡a¡¡London¡¡surgeon£»¡¡and¡¡from¡¡that¡¡time¡¡forward¡¡his¡¡progress¡¡was¡¡a¡¡practically¡¡uninterrupted¡¡series¡¡of¡¡successes¡¡in¡¡his¡¡profession¡£

Hunter's¡¡work¡¡on¡¡the¡¡study¡¡of¡¡the¡¡lymphatics¡¡was¡¡of¡¡great¡¡service¡¡to¡¡the¡¡medical¡¡profession¡£¡¡¡¡This¡¡important¡¡net¡­work¡¡of¡¡minute¡¡vessels¡¡distributed¡¡throughout¡¡the¡¡body¡¡had¡¡recently¡¡been¡¡made¡¡the¡¡object¡¡of¡¡much¡¡study£»¡¡and¡¡various¡¡students£»¡¡including¡¡Haller£»¡¡had¡¡made¡¡extensive¡¡investigations¡¡since¡¡their¡¡discovery¡¡by¡¡Asellius¡£¡¡¡¡But¡¡Hunter£»¡¡in¡¡1758£»¡¡was¡¡the¡¡first¡¡to¡¡discover¡¡the¡¡lymphatics¡¡in¡¡the¡¡neck¡¡of¡¡birds£»¡¡although¡¡it¡¡was¡¡his¡¡brother¡¡William¡¡who¡¡advanced¡¡the¡¡theory¡¡that¡¡the¡¡function¡¡of¡¡these¡¡vessels¡¡was¡¡that¡¡of¡¡absorbents¡£¡¡One¡¡of¡¡John¡¡Hunter's¡¡pupils£»¡¡William¡¡Hewson¡¡£¨1739¡­1774£©£»¡¡first¡¡gave¡¡an¡¡account£»¡¡in¡¡1768£»¡¡of¡¡the¡¡lymphatics¡¡in¡¡reptiles¡¡and¡¡fishes£»¡¡and¡¡added¡¡to¡¡his¡¡teacher's¡¡investigations¡¡of¡¡the¡¡lymphatics¡¡in¡¡birds¡£¡¡These¡¡studies¡¡of¡¡the¡¡lymphatics¡¡have¡¡been¡¡regarded£»¡¡perhaps¡¡with¡¡justice£»¡¡as¡¡Hunter's¡¡most¡¡valuable¡¡contributions¡¡to¡¡practical¡¡medicine¡£

In¡¡1767¡¡he¡¡met¡¡with¡¡an¡¡accident¡¡by¡¡which¡¡he¡¡suffered¡¡a¡¡rupture¡¡of¡¡the¡¡tendo¡¡Achillisthe¡¡large¡¡tendon¡¡that¡¡forms¡¡the¡¡attachment¡¡of¡¡the¡¡muscles¡¡of¡¡the¡¡calf¡¡to¡¡the¡¡heel¡£¡¡From¡¡observations¡¡of¡¡this¡¡accident£»¡¡and¡¡subsequent¡¡experiments¡¡upon¡¡dogs£»¡¡he¡¡laid¡¡the¡¡foundation¡¡for¡¡the¡¡now¡¡simple¡¡and¡¡effective¡¡operation¡¡for¡¡the¡¡cure¡¡of¡¡club¡¡feet¡¡and¡¡other¡¡deformities¡¡involving¡¡the¡¡tendons¡£¡¡¡¡In¡¡1772¡¡he¡¡moved¡¡into¡¡his¡¡residence¡¡at¡¡Earlscourt£»¡¡Brompton£»¡¡where¡¡he¡¡gathered¡¡about¡¡him¡¡a¡¡great¡¡menagerie¡¡of¡¡animals£»¡¡birds£»¡¡reptiles£»¡¡insects£»¡¡and¡¡fishes£»¡¡which¡¡he¡¡used¡¡in¡¡his¡¡physiological¡¡and¡¡surgical¡¡experiments¡£¡¡Here¡¡he¡¡performed¡¡a¡¡countless¡¡number¡¡of¡¡experimentsmore£»¡¡probably£»¡¡than¡¡¡¨any¡¡man¡¡engaged¡¡in¡¡professional¡¡practice¡¡has¡¡ever¡¡conducted¡£¡¨¡¡These¡¡experiments¡¡varied¡¡in¡¡nature¡¡from¡¡observations¡¡of¡¡the¡¡habits¡¡of¡¡bees¡¡and¡¡wasps¡¡to¡¡major¡¡surgical¡¡operations¡¡performed¡¡upon¡¡hedgehogs£»¡¡dogs£»¡¡leopards£»¡¡etc¡£¡¡¡¡It¡¡is¡¡said¡¡that¡¡for¡¡fifteen¡¡years¡¡he¡¡kept¡¡a¡¡flock¡¡of¡¡geese¡¡for¡¡the¡¡sole¡¡purpose¡¡of¡¡studying¡¡the¡¡process¡¡of¡¡development¡¡in¡¡eggs¡£

Hunter¡¡began¡¡his¡¡first¡¡course¡¡of¡¡lectures¡¡in¡¡1772£»¡¡being¡¡forced¡¡to¡¡do¡¡this¡¡because¡¡he¡¡had¡¡been¡¡so¡¡repeatedly¡¡misquoted£»¡¡and¡¡because¡¡he¡¡felt¡¡that¡¡he¡¡could¡¡better¡¡gauge¡¡his¡¡own¡¡knowledge¡¡in¡¡this¡¡way¡£¡¡Lecturing¡¡was¡¡a¡¡sore¡¡trial¡¡to¡¡him£»¡¡as¡¡he¡¡was¡¡extremely¡¡diffident£»¡¡and¡¡without¡¡writing¡¡out¡¡his¡¡lectures¡¡in¡¡advance¡¡he¡¡was¡¡scarcely¡¡able¡¡to¡¡speak¡¡at¡¡all¡£¡¡¡¡In¡¡this¡¡he¡¡presented¡¡a¡¡marked¡¡contrast¡¡to¡¡his¡¡brother¡¡William£»¡¡who¡¡was¡¡a¡¡fluent¡¡and¡¡brilliant¡¡speaker¡£¡¡Hunter's¡¡lectures¡¡were¡¡at¡¡best¡¡simple¡¡readings¡¡of¡¡the¡¡facts¡¡as¡¡he¡¡had¡¡written¡¡them£»¡¡the¡¡diffident¡¡teacher¡¡seldom¡¡raising¡¡his¡¡eyes¡¡from¡¡his¡¡manuscript¡¡and¡¡rarely¡¡stopping¡¡until¡¡his¡¡complete¡¡lecture¡¡had¡¡been¡¡read¡¡through¡£¡¡¡¡His¡¡lectures¡¡were£»¡¡therefore£»¡¡instructive¡¡rather¡¡than¡¡interesting£»¡¡as¡¡he¡¡used¡¡infinite¡¡care¡¡in¡¡preparing¡¡them£»¡¡but¡¡appearing¡¡before¡¡his¡¡classes¡¡was¡¡so¡¡dreaded¡¡by¡¡him¡¡that¡¡he¡¡is¡¡said¡¡to¡¡have¡¡been¡¡in¡¡the¡¡habit¡¡of¡¡taking¡¡a¡¡half¡­drachm¡¡of¡¡laudanum¡¡before¡¡each¡¡lecture¡¡to¡¡nerve¡¡him¡¡for¡¡the¡¡ordeal¡£¡¡One¡¡is¡¡led¡¡to¡¡wonder¡¡by¡¡what¡¡name¡¡he¡¡shall¡¡designate¡¡that¡¡quality¡¡of¡¡mind¡¡that¡¡renders¡¡a¡¡bold¡¡and¡¡fearless¡¡surgeon¡¡like¡¡Hunter£»¡¡who¡¡is¡¡undaunted¡¡in¡¡the¡¡face¡¡of¡¡hazardous¡¡and¡¡dangerous¡¡operations£»¡¡a¡¡stumbling£»¡¡halting£»¡¡and¡¡¡¨frightened¡¨¡¡speaker¡¡before¡¡a¡¡little¡¡band¡¡of£»¡¡at¡¡most£»¡¡thirty¡¡young¡¡medical¡¡students¡£¡¡¡¡And¡¡yet¡¡this¡¡same¡¡thing¡¡is¡¡not¡¡unfrequently¡¡seen¡¡among¡¡the¡¡boldest¡¡surgeons¡£


Hunter's¡¡Operation¡¡for¡¡the¡¡Cure¡¡of¡¡Aneurisms

It¡¡should¡¡be¡¡an¡¡object¡­lesson¡¡to¡¡those¡¡who£»¡¡ignorantly¡¡or¡¡otherwise£»¡¡preach¡¡against¡¡the¡¡painless¡¡vivisection¡¡as¡¡practised¡¡to¡­day£»¡¡that¡¡by¡¡the¡¡sacrifice¡¡of¡¡a¡¡single¡¡deer¡¡in¡¡the¡¡cause¡¡of¡¡science¡¡Hunter¡¡discovered¡¡a¡¡fact¡¡in¡¡physiology¡¡that¡¡has¡¡been¡¡the¡¡means¡¡of¡¡saving¡¡thousands¡¡of¡¡human¡¡lives¡¡and¡¡thousands¡¡of¡¡human¡¡bodies¡¡from¡¡needless¡¡mutilation¡£¡¡We¡¡refer¡¡to¡¡the¡¡discovery¡¡of¡¡the¡¡¡¨collateral¡¡circulation¡¨¡¡of¡¡the¡¡blood£»¡¡which¡¡led£»¡¡among¡¡other¡¡things£»¡¡to¡¡Hunter's¡¡successful¡¡operation¡¡upon¡¡aneurisms¡£

Simply¡¡stated£»¡¡every¡¡organ¡¡or¡¡muscle¡¡of¡¡the¡¡body¡¡is¡¡supplied¡¡by¡¡one¡¡large¡¡artery£»¡¡whose¡¡main¡¡trunk¡¡distributes¡¡the¡¡blood¡¡into¡¡its¡¡lesser¡¡

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