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Dark Banquet - Bill Schutt [37]

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or surgeons (the top two rungs of the medical practitioner’s ladder, respectively). Procedures such as therapeutic phlebotomy, leeching, and even minor surgeries were usually carried out by a lower class of medical personnel, the barber-surgeons (who were themselves a rung or two higher than midwives). Barber-surgeons were the descendants of the bath men who toiled in medieval bathhouses. Both had duties that included shaving, cutting hair, bleeding patients, administering enemas, and changing wound dressings. During wars, some barber-surgeons traveled with their respective armies—treating fractures and probing for bullets. They became the first military surgeons. Back home, they advertised their talents with a striped barber pole outside their establishment—the red stripes signifying blood, blue stripes were veins, and white stripes represented the gauze bandages they used to stem the bleeding. The pole itself was a symbol of the stick that patients would grip tightly as they were being bled and the ball atop the pole signified the blood collection basin (and the container they used to hold leeches).

Barber-surgeons “breathed veins” to treat all serious maladies and any number of lesser complaints, from asthma and bone fractures to drunkenness and pneumonia. Women were bled to reduce menstrual flow and “lunatics” were drained to treat mental illness. Even drowning victims were bled!

In modern times, with the remarkable medical advances that we see on an almost daily basis, it’s easy to overlook the fact that in many ways medical research was relatively stagnant from the time of the ancient Greeks until the first decades of the twentieth century.

One of those responsible for attempting to revive experimental medicine was Andreas Vesalius. Born into a family of Belgian physicians, Vesalius received his doctorate in 1537 from the University of Padua, where he soon became the chair of surgery and anatomy. There, as in the other early medical schools, Galen’s massive literary output served as the basis for all relevant courses and their syllabi. But rather than blindly accepting Galen’s well-worn teachings, Vesalius took a new and dangerous approach. He employed dissection in his classroom and preached a hands-on approach to his students. Fortuitously, a sympathetic judge gave Vesalius access to the corpses of executed criminals. The young anatomist not only studied their anatomy but also produced a set of remarkable and highly detailed anatomical diagrams, which were included in his seven-volume On the Fabric of the Human Body. It was his masterwork and it hammered Galen’s inaccurate and erroneous views on anatomy into the ground like so many tent pegs. Using cadavers, Vesalius disproved Galen’s concept of invisible pores in the heart. He also demonstrated that the human heart had four chambers (not three) and that half of the body’s major blood vessels did not originate in the liver (as described by Galen). Additionally, Vesalius clearly showed that the liver itself was not the five-lobed organ that Galen claimed it was.

Understandably, Vesalius (who was not yet thirty) upset many of the Galen faithful by dismantling so many of their master’s long-held claims. One outraged Galenite went so far as to publish a paper in which he asserted that the work of Vesalius didn’t prove Galen wrong, it simply indicated that the human body had changed since Galen’s time.

Vesalius died in 1564, after his ship was wrecked returning from a pilgrimage to the Holy Land. A long-held rumor that he had fled to the Mideast to escape the Inquisition (after dissecting a “corpse” whose heart suddenly started beating) has been discredited.

Blood is a very special juice.

—Mephistopheles, speaking to Faust

5.

THE RED STUFF

One day while I was rummaging around in a tidal flat on the South Shore of Long Island, a stray bit of metal ribbon sliced a neat new crease in my wrist. I was around ten years old at the time and I remember staring in silent fascination as the blood welled up and then began to run out of the half-inch cut and

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