首页 >出版文学> Medical Essays>第49章

第49章

  Agreatportionofthebestwritingandreadingliterary,scientific,professional,miscellaneous——comestousnow,atstatedintervals,inpapercovers。Thewriterappears,asitwere,inhisshirt-sleeves。
  Assoonashehasdeliveredhismessagethebook-binderputsacoatonhisback,andhejoinstheforlornbrotherhoodof“backvolumes,“
  thanwhich,solongastheyareunindexed,nothingcanbemoreexasperating。Whowantsalockwithoutakey,ashipwithoutarudder,abinnaclewithoutacompass,acheckwithoutasignature,agreenbackwithoutagoldbackbehindit?
  Ihavereferredchieflytothemedicaljournals,butIwouldincludewiththesethereportsofmedicalassociations,andthoseseparatepublicationswhich,comingintheformofpamphlets,heapthemselvesintochaoticpilesandbundleswhichareworsethanuseless,takingupagreatdealofroom,andfrighteningeverythingawaybutmiceandmousingantiquarians,orpossiblyatlongintervalssometerebratingspecialist。
  Arranged,bound,indexed,alltheseatoncebecomeaccessibleandvaluable。Iwilltakethefirstinstancewhichhappenstosuggestitself。HowmanywhoknowallaboutosteoblastsandtheexperimentsofOllier,andallthathasgrownoutofthem,knowwheretogoforapaperbythelateDr。A。L。PeirsonofSalem,publishedintheyear1840,underthemodesttitle,RemarksonFractures?Andifanypractitionerwhohastodealwithbrokenbonesdoesnotknowthatmostexcellentandpracticalessay,itisagreatpity,foritanswersverynumerousquestionswhichwillbesuretosuggestthemselvestothesurgeonandthepatientasnooneoftherecenttreatises,onmyownshelves,atleast,cando。
  Butifindexingisthespecialneedofourtimeinmedicalliterature,asineverydepartmentofknowledge,itmustberememberedthatitisnotonlyanimmenselabor,butonethatneverends。Itrequires,therefore,thecooperationofalargenumberofindividualstodothework,andalargeamountofmoneytopayformakingitsresultspublicthroughthepress。WhenitisrememberedthatthecatalogueofthelibraryoftheBritishMuseumiscontainedinnearlythreethousandlargefoliosofmanuscript,andnotallitsbooksareyetincluded,thetaskofindexinganyconsiderablebranchofscienceorliteraturelooksasifitwerewellnighimpossible。
  Butmanyhandsmakelightwork。An“IndexSociety“hasbeenformedinEngland,alreadynumberingaboutonehundredandseventymembers。
  Itaimsat“supplyingthoroughindexestovaluableworksandcollectionswhichhavehithertolackedthem;atissuingindexestotheliteratureofspecialsubjects;andatgatheringmaterialsforageneralreferenceindex。“Thissocietyhaspublishedalittletreatisesettingforththehistoryandtheartofindexing,whichI
  trustisinthehandsofsomeofourmembers,ifnotuponourshelves。
  Somethinghasbeendoneinthesamedirectionbyindividualsinourowncountry,aswehavealreadyseen。Theneedofitinthedepartmentofmedicineisbeginningtobeclearlyfelt。Ourlibraryhasalreadyanadmirablecataloguewithcrossreferences,theworkofanumberofitsyoungermemberscooperatinginthetask。Averyintelligentmedicalstudent,Mr。WilliamD。Chapin,whoseexcellentprojectisindorsedbywell-knownNewYorkphysiciansandprofessors,proposestopublishayearlyindextooriginalcommunicationsinthemedicaljournalsoftheUnitedStates,classifiedbyauthorsandsubjects。ButitisfromtheNationalMedicalLibraryatWashingtonthatwehavethebestpromiseandthelargestexpectations。Thatgreatandgrowingcollectionoffiftythousandvolumesisundertheeyeandhandofalibrarianwhoknowsbooksandhowtomanagethem。
  Forlibrariesarethestandingarmiesofcivilization,andanarmyisbutamobwithoutageneralwhocanorganizeandmarshalitsoastomakeiteffective。The“SpecimenFasciculusofaCatalogueoftheNationalMedicalLibrary,“preparedunderthedirectionofDr。
  Billings,thelibrarian,wouldhaveexcitedtheadmirationofHaller,themasterscholarinmedicalscienceofthelastcentury,orratheroftheprofessioninallcenturies,andifcarriedoutasitisbegunwillbetothenineteenthallandmorethanallthatthethreeBibliothecae——Anatomica,Chirurgica,andMedicinae-Practicae——weretotheeighteenthcentury。IcannotforgetthestorythatAgassizwassofondoftellingofthekingofPrussiaandFichte。ItwasafterthehumiliationandspoliationofthekingdombyNapoleonthatthemonarchaskedthephilosopherwhatcouldbedonetoregainthelostpositionofthenation。“Foundagreatuniversity,Sire,“wastheanswer,andsoitwasthatintheyear1810theworld-renownedUniversityofBerlincameintobeing。Ibelievethatweinthiscountrycandobetterthanfoundanationaluniversity,whoseprofessorsshallbenominatedincaucuses,goinandout,perhaps,likepostmasters,witheverychangeofadministration,anddealwithscienceinthefaceoftheirconstituencyasthecourtierdidwithtimewhenhissovereignaskedhimwhato’clockitwas:“Whateverhouryourmajestypleases。“ButwhenwehaveanoblelibrarylikethatatWashington,andalibrarianofexceptionalqualificationslikethegentlemanwhonowholdsthatoffice,IbelievethataliberalappropriationbyCongresstocarryoutaconscientiousworkfortheadvancementofsoundknowledgeandthebetteringofhumanconditions,likethiswhichDr。Billingshassowellbegun,wouldredoundgreatlytothehonorofthenation。Itoughttobewillingtobeatsomechargetomakeitstreasuresusefultoitscitizens,and,foritsownsake,especiallytothatclasswhichhaschargeofhealth,publicandprivate。Thiscountryaboundsinwhatarecalled“self-mademen,“
  andisjustlyproudofmanywhomitthusdesignates。Inonesensenomanisself-madewhobreathestheairofacivilizedcommunity。Inanothersenseeverymanwhoisanythingotherthanaphonographonlegsisself-made。Butifweawardhisjustpraisetothemanwhohasattainedanykindofexcellencewithouthavinghadthesameadvantagesasotherswhom,nevertheless,hehasequalledorsurpassed,letusnotbebetrayedintoundervaluingthemechanic’scarefultrainingtohisbusiness,thethoroughandlaboriouseducationofthescholarandtheprofessionalman。
  OurAmericanatmosphereisvocalwiththeflippantloquacityofhalfknowledge。Wemustacceptwhatevergoodcanbegotoutofit,andkeepitunderaswedosorrelandmulleinandwitchgrass,byenrichingthesoil,andsowinggoodseedinplenty;bygoodteachingandgoodbooks,ratherthanbywastingourtimeintalkingagainstit。Halfknowledgedreadsnothingbutwholeknowledge。
  Ihavespokenoftheimportanceandthepredominanceofperiodicalliterature,andhaveattemptedtodojusticetoitsvalue。Butthealmostexclusivereadingofitisnotwithoutitsdangers。Thejournalscontainmuchthatiscrudeandunsound;thepresumption;itmightbemaintained,isagainsttheirnovelties,unlesstheycomefromobserversofestablishedcredit。YetIhaveknownapractitioner,——perhapsmorethanone,——whowasasmuchunderthedominantinfluenceofthelastarticlehehadreadinhisfavoritemedicaljournalasamillinerundertheswayofthelastfashion-
  plate。Thedifferencebetweengreenandseasonedknowledgeisverygreat,andsuchpractitionersneverholdlongenoughtoanyoftheirknowledgetohaveitgetseasoned。
  Itisneedlesstosay,then,thatallthesubstantialandpermanentliteratureoftheprofessionshouldberepresenteduponourshelves。
  Muchofitistherealready,andasoneprivatelibraryafteranotherfallsintothisbythenaturallawofgravitation,itwillgraduallyacquireallthatismostvaluablealmostwithouteffort。Ascholarshouldnotbeinahurrytopartwithhisbooks。Theyareprobablymorevaluabletohimthantheycanbetoanyotherindividual。WhatSwedenborgcalled“correspondence“hasestablisheditselfbetweenhisintelligenceandthevolumeswhichwallhimwithintheirsacredinclosure。Napoleonsaidthathismindwasasiffurnishedwithdrawers,——hedrewouteachashewanteditscontents,andcloseditatwillwhendonewiththem。Thescholar’smind,touseasimilarcomparison,isfurnishedwithshelves,likehislibrary。Eachbookknowsitsplaceinthebrainaswellasagainstthewallorinthealcove。Hisconsciousnessisdoubledbythebookswhichencirclehim,asthetreesthatsurroundalakerepeatthemselvesinitsunruffledwaters。Mentalkofthenervethatrunstothepocket,butonewholoveshisbooks,andhaslivedlongwiththem,hasanervousfilamentwhichrunsfromhissensoriumtoeveryoneofthem。Or,ifImaystillletmyfancydrawitspictures,ascholar’slibraryistohimwhatatempleistotheworshipperwhofrequentsit。Thereisthealtarsacredtohisholiestexperiences。Thereisthefontwherehisnew-bornthoughtwasbaptizedandfirsthadanameinhisconsciousness。Thereisthemonumentaltabletofadeadbelief,sacredstillinthememoryofwhatitwaswhileyetalive。Novisitorcanreadallthisontheletteredbacksofthebooksthathavegatheredaroundthescholar,butforhim,fromtheAldusonthelowestshelftotheElzevironthehighest,everyvolumehasalanguagewhichnonebutbecaninterpret。Bepatientwiththebook-
  collectorwholoveshiscompanionstoowelltoletthemgo。Booksarenotburiedwiththeirowners,andtheveriestbook-miserthateverlivedwasprobablydoingfarmoreforhissuccessorsthanhismoreliberalneighborwhodespisedhislearnedorunlearnedavarice。
  Letthefruitfallwiththeleavesstillclingingroundit。WhowouldhavestrippedSouthey’swallsofthebooksthatfilledthem,when,hismindnolongercapableoftakingintheirmeaning,hewouldstillpatandfondlethemwiththevaguelovingsenseofwhattheyhadoncebeentohim,——tohim,thegreatscholar,nowlikealittlechildamonghisplaythings?
  Weneedinthiscountrynotonlythescholar,butthevirtuoso,whohoardsthetreasureswhichheloves,itmaybechieflyfortheirrarityandbecauseotherswhoknowmorethanhedoesoftheirvaluesetahighpriceuponthem。Asthewineofoldvintagesisgentlydecantedoutofitscobwebbedbottleswiththeirrottencorksintocleannewreceptacles,sothewealthoftheNewWorldisquietlyemptyingmanyofthelibrariesandgalleriesoftheOldWorldintoitsnewlyformedcollectionsandnewlyraisededifices。Andthisprocessmustgooninanacceleratingratio。NoEnglishmanwillbeoffendedifIsaythatbeforetheNewZealandertakeshisstandonabrokenarchofLondonBridgetosketchtheruinsofSt。Paul’sinthemidstofavastsolitude,thetreasuresoftheBritishMuseumwillhavefoundanewshelterinthehallsofNewYorkorBoston。NoCatholicwillthinkhardlyofmysayingthatbeforetheColiseumfalls,andwithittheimperialcity,whosedoomprophecyhaslinkedwiththatofthealmosteternalamphitheatre,themarbles,thebronzes,thepaintings,themanuscriptsoftheVaticanwillhavelefttheshoresoftheTiberforthoseofthePotomac,theHudson,theMississippi,ortheSacramento。Andwhatadelightinthepursuitoftheraritieswhichtheeagerbook-hunterfollowswiththescentofabeagle!
  ShallIeverforgetthatrainydayinLyons,thatdingybookshop,whereIfoundtheAetius,longmissingfrommyArtisbledicaePrincipes,andwhereIboughtforasmallpecuniaryconsideration,thoughitwasmarkedrare,andwasreallytresrare,theAphorismsofHippocrates,editedbyandwithaprefacefromthehandofFrancisRabelais?Andthevellum-boundTulpius,whichIcameuponinVenice,afterwardsmyonlyreadingwhenimprisonedinquarantineatMarseilles,sothatthetwohundredandtwenty-eightcaseshehasrecordedare,manyofthem,tothisdaystillfreshinmymemory。
  AndtheSchenckius,——thefoliofilledwithcasusrariores,whichhadstrayedinamongtherubbishofthebookstallontheboulevard,——andthenobleoldVesaliuswithitsgrandfrontispiecenotunworthyofTitian,andthefineoldAmbroisePare,longwaitedforeveninParisandlongago,andthecolossalSpigeliuswithhisevisceratedbeauties,andDutchBidloowithitsmiraclesoffineengravingandbaddissection,andItalianMascagni,thedespairofallwould-beimitators,andpre-AdamiteJohndeKetam,andantediluvianBerengariusCarpensis,——butwhymultiplynames,everyoneofwhichbringsbacktheaccessionofabookwhichwasaneventalmostlikethebirthofaninfant?
  Alibrarylikeoursmustexercisethelargesthospitality。Agreatmanybooksmaybefoundineverylargecollectionwhichremindusofthoseapostoliclookingoldmenwhofigureontheplatformatourpoliticalandotherassemblages。Someofthemhavespokenwordsofwisdomintheirday,buttheyhaveceasedtobeoracles;someofthemneverhadanyparticularlyimportantmessageforhumanity,buttheyadddignitytothemeetingbytheirpresence;theylookwise,whethertheyaresoornot,andnoonegrudgesthemtheirplacesofhonor。
  Venerablefigure-heads,whatwouldourplatformsbewithoutyou?
  Justsowithourlibraries。Withouttheirrowsoffoliosincreamyvellum,orshowingtheirblackbackswithantiqueletteringoftarnishedgold,ourshelveswouldlookasinsufficientandunbalancedasacolumnwithoutitsbase,asastatuewithoutitspedestal。Anddonotthinktheyarekeptonlytobespankedanddustedduringthatdreadfulperiodwhentheirownerisbuttoothankfultobecomeanexileandawandererfromthesceneofsinglecombatsbetweendeadauthorsandlivinghousemaids。MenwerenotallcowardsbeforeAgamemnonorallfoolsbeforethedaysofVirchowandBillroth。Andapartfromanypracticalusetobederivedfromtheoldermedicalauthors,istherenotatruepleasureinreadingtheaccountsofgreatdiscoverersintheirownwords?IdonotpretendtohoistuptheBibliothecaAnatomicaofMangetusandspreaditonmytableeveryday。IdonotgetoutmygreatAlbinusbeforeeverylectureonthemuscles,nordisturbthemajesticreposeofVesaliuseverytimeI
  speakoftheboneshehassoadmirablydescribedandfigured。Butitdoespleasemetoreadthefirstdescriptionsofpartstowhichthenamesoftheirdiscoverersorthosewhohavefirstdescribedthemhavebecomesojoinedthatnotevenmodernsciencecanpartthem;tolistentothetalkofmyoldvolumeasWillisdescribeshiscircleandFallopiushisaqueductandVaroliushisbridgeandEustachiushistubeandMonrohisforamen,——allsowellknowntousinthehumanbody;itdoespleasemetoknowtheverywordsinwhichWinslowdescribedtheopeningwhichbearshisname,andGlissonhiscapsuleandDeGraafhisvesicle;IamnotcontentuntilIknowinwhatlanguageHarveyannouncedhisdiscoveryofthecirculation,andhowSpigeliusmadetheliverhisperpetualmemorial,andMalpighifoundamonumentmoreenduringthanbrassinthecorpusclesofthespleenandthekidney。
  Butafterall,thereaderswhocaremostfortheearlyrecordsofmedicalscienceandartarethespecialistswhoaredividingupthepracticeofmedicineandsurgeryastheywereparcelledout,accordingtoHerodotus,bytheEgyptians。Forthemnothingistooold,nothingistoonew,fortotheirbooksofailothersisapplicablethesayingofD’Alembertthattheauthorkillshimselfinlengtheningoutwhatthereaderkillshimselfintryingtoshorten。
  Therearepracticalbooksamongtheseancientvolumeswhichcannevergrowold。Wouldyouknowhowtorecognize“malehysteria“andtotreatit,takedownyourSydenham;wouldyoureadtheexperienceofaphysicianwhowashimselfthesubjectofasthma,andwho,notwithstandingthat,inthewordsofDr。Johnson,“pantedontillninety,“youwillfinditinthevenerabletreatiseofSirJohnFloyer;wouldyoulistentothestoryoftheKing’sEvilcuredbytheroyaltouch,astoldbyafamouschirurgeonwhofullybelievedinit,gotoWiseman;wouldyougetatfirsthandthedescriptionofthespinaldiseasewhichlongborehisname,donotbestartledifItellyoutogotoPott,——toPercivalPott,thegreatsurgeonofthelastcentury。
  Therecomesatimeforeverybookinalibrarywhenitiswantedbysomebody。ItisbutafewweekssinceoneofthemostcelebratedphysiciansinthecountrywrotetomefromagreatcentreofmedicaleducationtoknowifIhadtheworksofSanctorius,whichhehadtriedinvaintofind。Icouldhavelenthimthe“MedicinaStatica,“
  withitsfrontispieceshowingSanctoriuswithhisdinneronthetablebeforehim,inhisbalancedchairwhichsunkwithhimbelowthelevelofhisbanquet-boardwhenhehadswallowedacertainnumberofounces,——anearlyforeshadowingofPettenkofer’schamberandquantitativephysiology,——butthe“OperaOmnia“ofSanctoriusIhadnevermetwith,andIfearhehadtodowithoutit。