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Om Pimespo Forklifts Epc 10 2011
Om Pimespo Forklifts Epc 10 2011
2011]
https://manualpost.com/download/om-pimespo-forklifts-epc-10-2011/
This story of the contrast of the treatment of the Indian at the North
and the South is probably the best evidence for the real depth of
culture that the magnificent education of the Spaniards, so early and
so thoroughly organized in their colonies, accomplished for this
continent. Alone it would stand as the highest possible evidence of
the interest of the Spanish Government and the Spanish Church in
the organization not only of education, but of government in such a
way as to bring happiness and uplift for {341} both natives and
colonists in the Spanish-American countries. Abuses there were, as
there always will be where men are concerned and where a superior
race comes in contact with an inferior. These abuses, however, were
exceptions and not the rule. The policy instituted by the Spaniards
and maintained in spite of the tendencies of men to degenerate into
tyranny and misuse of the natives is well worthy of admiration.
English-speaking history has known very little of it until
comparatively recent years. Mr. Sidney Lee, the editor of the English
Biographical Dictionary and the author of a series of works on
Shakespeare which has gained for him recognition as probably the
best living authority on the history of the Elizabethan times, wrote a
series of articles which appeared in Scribner's last year on "The Call
of the West." This was meant to undo much of the prejudice which
exists in regard to Spanish colonization in this country and to
mitigate the undue reverence in which the English explorers and
colonists have been held by comparison. There seems every reason
to think, then, that this newer, truer view of history is gradually
going to find its way into circulation. In the meantime it is amusing
to look back and realize how much prejudice has been allowed to
warp English history in this matter, and how, as a consequence of
the determined, deliberate efforts to blacken the Spanish name, we
have had to accept as history exactly the opposite view to the {342}
reality in this matter. Lest we should be thought to be exaggerating,
we venture to quote one of the opening paragraphs of Mr. Sidney
Lee's article as it appeared in Scribner's for May, 1907: "Especially
has theological bias justified neglect or facilitated misconception of
Spain's role in the sixteenth century drama of American history.
Spain's initial adventures in the New World are often consciously or
unconsciously overlooked or underrated in order that she may figure
on the stage of history as the benighted champion of a false and
obsolete faith, which was vanquished under divine protecting
Providence by English defenders of the true religion. Many are the
hostile critics who have painted sixteenth century Spain as the
avaricious accumulator of American gold and silver, to which she had
no right, as the monopolist of American trade, of which she robbed
others, and as the oppressor and exterminator of the weak and
innocent aborigines of the new continent who deplored her presence
among them. Cruelty in all its hideous forms is, indeed, commonly
set forth as Spain's only instrument of rule in her sixteenth century
empire. On the other hand, the English adventurer has been credited
by the same pens with a touching humanity, with the purest
religious aspirations, with a romantic courage which was always at
the disposal of the oppressed native.
{346}
{347}
THE MEDICAL PROFESSION FOR SIX THOUSAND
YEARS
{348}
[You are living right if you take care to be what people say you
are. Do not imagine that any one who is really happy is other
than wise and good.]
[The question is what you are, not what you are thought to be.]
"May you so raise your character, that you may help to make the
next age a better thing, and leave posterity in your debt for the
advantage it shall receive by your example."
--Lord Halifax.
{349}
THE MEDICAL PROFESSION FOR SIX THOUSAND
YEARS [Footnote 20]
[Footnote 20: This was the address to the graduates at the First
Commencement of the Fordham University School of Medicine,
June 9, 1909.]
I have felt that the first graduation of the youngest of the medical
schools might very well be occupied with the consideration of the
place of the medical profession in history. We are rather apt in the
modern time to neglect the lessons of history and, above all, of the
history of science, first because it is not always easy to get definite
information with regard to it, and secondly and mainly because we
are likely to imagine that scientific and medical history can mean
very little for us. In America particularly we have neglected the
history of medicine and it has been one of the definite efforts at
Fordham University School of Medicine to renew interest in this
subject. It is entirely too important to be neglected and it has
valuable lessons for all generations, but especially for a generation
so occupied with itself, that it does not properly consider the claims
of the past to recognition for fine work accomplished, and for the
exhibition of some of the best qualities of the human intellect in the
pursuit of scientific and practical medical knowledge in previous
generations.
{350}
With the reception of your diplomas this evening you now belong to
what is therefore probably the oldest profession in the world. In
welcoming you into it let me call your attention particularly to the
fact that the history of our profession can be traced back to the very
beginning of the course of time, for as long as we have any account
of men's actions in an organized social order.
{352}
We are very prone in the modern time to think that what we are
doing in each successive generation is of so much greater
significance than what was accomplished before our time that it is
really scarcely worth while to give much attention to the past. This
self-sufficient complacency with regard to the present would be quite
unbearable only that each successive generation in its turn has had
the same tendency and has expiated its fault by being thought little
of by subsequent generations. We shall have our turn with those we
affect to despise.
Of course there were superstitions in the old days, but, then, there
have been superstitions in medicine at all times. Any one who thinks
that we are without superstitions in medicine at the present time,
superstitions that are confidently accepted by many regular
practising physicians, must, indeed, be innocent. A superstition is in
its etymology a survival. It comes from the Latin superstes, a
survivor. It is the acceptance of some doctrine the reasons for which
have disappeared in the progress of knowledge or the development
of science, though the doctrine itself still maintains a hold on the
minds of man. Superstition has nothing necessarily to do with
religion, though it is with regard to religion that doctrines are
particularly apt to be accepted after the reasons for them have
disappeared. In medicine, however, superstitions are almost as
common as in religion. I shall never forget a discussion with two of
the most prominent physicians of this country on this subject.
One of them was our greatest pathologist, the other a great teacher
of clinical medicine, who came into medicine through chemistry and
therefore had a right to opinions with regard to the chemical side of
medicine. We had been discussing the question of how much serious
medical {355} education there was in the Middle Ages and how, in
spite of the magnificent work done, so many superstitions in
medicine continued to maintain themselves. I remarked that it
seemed impossible to teach truths to large bodies of men without
having them accept certain doctrines which they thought truths but
which were only theories and which they insisted on holding after
the reasons for them had passed away. I even ventured to say that I
thought that there were as many superstitions now, and such as
there were, were of as great significance as those that maintained
themselves in the Middle Ages. My chemical clinician brother on the
right side said, "Let us not forget in this regard the hold the uric acid
diathesis has on the English-speaking medical profession." And the
brother pathologist on the left side: "Well, and what shall we say of
intestinal auto-intoxication?"
Perhaps you will not realize all the force of these expressions at the
present time, but after you have been five years in the practice of
medicine and have been flooded by the literature of the advertising
manufacturing pharmacist and by the samples of the detail man and
his advice and suggestion of principles of practice, if you will listen to
them, perhaps you will appreciate how much such frank expressions
mean as portraying the medical superstitions of our time.
Surely we who have for years been much occupied with the
superstition, for such it now {356} turns out to be, of heredity in
medicine, will not be supercilious toward older generations and their
superstitions. Until a few years ago we were perfectly sure that a
number of diseases were inherited directly. Tuberculosis,
rheumatism, gout, various nutritional disturbances all were supposed
to pass from father to son and from mother to daughter, or
sometimes to cross the sex line. For a time cancer was deemed to
be surely hereditary to some degree at least. Now most of us know
that probably no disease is directly inherited, that acquired
characters are almost surely not transmitted, and that while defects
may be the subject of heredity, disease never is. Not only this,
biological investigations have served to show that what is the subject
of inheritance is just the opposite,--resistance to disease. A person
whose father and mother had suffered from tuberculosis used to
think it almost inevitable that he too should suffer from it. If they
had died that he too would die. Our experts in tuberculosis declare
now, that if tuberculosis has existed in the preceding generation
there is a much better chance of the patient recovering from it, or at
least resisting it for a long time, than if there had been no
tuberculosis in the family. We had been harboring the superstition of
heredity, the surviver opinion from a preceding generation, until we
learned better by observation.
I called attention in 1907 [Footnote 21] to the fact that the earliest
pictures of surgical operations extant had recently been uncovered in
the cemetery of Sakkara near Memphis in Egypt. These pictures
show that surgery was probably an organized branch of medicine
thus early, and the fact that they are found in a very important tomb
shows how prominent a place in the community the surgeon held at
that time. The oldest document after that which we have with
regard to medicine is the "Ebers Papyrus," the writing of which was
done probably about 1600 B.C. This, however, is only a copy of an
older manuscript or series of manuscripts, and there seems to be no
doubt that the text, which contains idioms of a much older period,
or, indeed, several periods, probably represents accumulations of
information made during 2,000 or even 3,000 years before the date
of our manuscript. Indeed, it is not improbable that the oldest
portions of the "Ebers Papyrus" owe their origin to men of the first
Egyptian dynasties, nearly 5,000 years B.C. To be members of a
profession that can thus trace its earliest written documents to a
time nearly some 7,000 years ago, is an honor that may be readily
appreciated and that may allow of some complacency.
It is easy to think in spite of all this, that the Egyptians did not know
much medicine; but only one who knows nothing about it thinks so.
According to Dr. Carl von Klein, who discussed the "Medical Features
of the Ebers Papyrus" in the Journal of the American Medical
Association about five years ago, over 700 different substances are
mentioned as of remedial value in this old-time medical work. There
is scarcely a disease of any important organ with which we are
familiar in the modern time that is not mentioned here. While the
significance of diseases of such organs as the spleen, the ductless
glands, and the appendix was, of course, missed, nearly every other
pathological condition was either expressly named or at least hinted
at. The papyrus insists very much on the value of history-taking in
medicine, and hints that the reason why physicians fail to cure is
often because they have not studied their cases sufficiently. While
the treatment was mainly symptomatic, it was not more so than is a
great deal of therapeutics {363} at the present time, even in the
regular school of medicine. The number and variety of their
remedies and of their modes of administering them is so marvellous,
that I prefer to quote Dr. von Klein's enumeration of them for you:
"In this papyrus are mentioned over 700 different substances from
the animal, vegetable and mineral kingdoms which act as stimulants,
sedatives, motor excitants, motor depressants, narcotics, hypnotics,
analgesics, anodynes, antispasmodics, mydriatics, myotics,
expectorants, tonics, dentifrices, sialogogues, antisialics,
refrigerants, emetics, antiemetics, carminatives, cathartics,
purgatives, astringents, cholagogues, anthelmintics, restoratives,
haematics, alteratives, antipyretics, antiphlogistics, antiperiodics,
diuretics, diluents, diaphoretics, sudorifics, anhydrotics,
emmenagogues, oxytocics, caustics, ecbolics, galactagogues,
irritants, escharotics, caustics, styptics, haemostatics, emollients,
demulcents, protectives, antizymotics, disinfectants, deodorants,
parasiticides, antidotes and antagonists."
Scarcely less interesting than the variety of remedies were their
methods of administration:
With all this activity in Egypt, it is easy to understand that the other
great nations of antiquity also have important chapters in the history
of medicine. The earliest accounts would seem to indicate that the
Chaldeans, the Assyrians and the Babylonians all made significant
advances in medicine. It seems clear that a work on anatomy was
written in China about the year 2000 B.C. Some of the other Eastern
nations made great progress. The Hindoos in particular have in
recent years been shown to have accomplished very good work in
medicine itself. Charaka, a Hindu surgeon, who lived not later than
300 B.C., made some fine contributions to the medical literature in
Hindostani. There were hospitals in all these countries, and these
provided opportunities for the practice of surgery. Laparotomy was
very commonly done by Hindu surgeons, and one of the rules
enjoined by Hindu students was the constant habit of visiting the
sick and seeing them treated by experienced physicians. Clinical
teaching is often spoken of as a modern invention, but it is as old as
hospital systems, and they go back to the dawn of history.
[Footnote 23: For the complete text of this law, the first
regulating the practice of medicine in modern times, also the
first pure drug law, see Walsh's The Popes and Science, New
York, Fordham University Press, 1908.]