|
JOSEPH GRIFFITHS SWAYNE
was
born on
At
the completion of his term in Bristol he entered at Guy's Hospital, and in
1841
obtained the diplomas of M.R.C.S. and L.S.A., he also worked in Paris, and in 1843 graduated M.B. in the University of London, gaining the gold medal in Obstetric Medicine, being equal for the gold medal in Medicine with Sir Alfred Baring
Jarrod
and obtaining first-class honours in Surgery. He graduated M.D. in
1846.
For a few years he practised in partnership with his father, and Mr.
S.
H. Swayne, his younger brother. For a short time he was Demonstrator and then Lecturer on Anatomy at the
A fact not generally known is that he was engaged
for
some time on a Manual of Anatomy, the illustrations for which he etched on copper from his own dissections. The publication of his
work
was, however, forestalled by Ellis's dissections, and as, owing to the liberality with which it was illustrated, his own work would only have been produced at a much higher price, he never completed it.
In
1845
he worked vigorously during the cholera epidemic then raging in Bristol in endeavouring to discover the primary cause
of
the disease, and described
a
micro-organism which was believed by many (Mr. Francis Fowler, in an article in the
British M
edical
Joumal
,
among the number) to have anticipated Koch's discovery of the comma bacillus. He did not, however, himself claim that the micro-organism he described was the primary cause, but noted its constant appearance in the
dejecta
of true cholera cases, and
also in
water in places where the epidemic was severe.
(
see
comment below)
In the pursuit of this research, on the subsidence of the
In
1856
he brought out “0bstetric Aphorisms for the use of Students,” a work which attained very rapidly wide popularity, and for four decades held the field as a practical text-book for students of midwifery. It was translated into several European and two Oriental languages, and reached its twentieth edition in
1894.
His association with his father led to his adoption of midwifery as a speciality, and in
1853
he was appointed Physician
Accoucheur
to the
He was singularly fortunate in practice. We have heard him say that since his student days, when dissection, post-mortem work, and practical midwifery were carried on simultaneously, he had never lost a case. Although
Semmelweiss
had not yet given the result of his observations to the world, the period alluded to being before
1843,
Dr. Swayne suspected that this practice had some causal relation to the high mortality from septic infection after labour, and very early in his career took care not to allow these incompatible pursuits to clash, and always attributed his personal immunity from the evil results
of
this pernicious practice to the fact that he
was
always
very
careful about washing his hands. We have also heard him remark that it was not
a
good practice for either surgeons or
accoucheurs
to wear either their beards or hair long, as he had observed that septic poisoning was more common in the patients of those who did so. As we might expect from the foregoing, when the application of Lister’s discoveries to midwifery was advocated, he at once, although an old man, adopted the antiseptic technique, which, although looked upon by many as a fad, in reality simply involved the further
application of ideas of his own deduced from practical
observation
;
this he did the more readily owing to his complete absence of bias in favour of old methods simply on the grounds of their antiquity.
The same absence of bias led to his continued use of old methods, the utility of which his own observation confirmed. For example,
venesection
, which in his youth was freely practised, went out of fashion, but he never ceased his advocacy of it in cases of
eclampsia
, and he lived long enough to see the practice again one of the recognised methods of treatment in this affection. His lectures were always well thought out, clear, scholarly and not
overweighted
with conflicting evidence; he was always able to realise the difficulties of the students, and he impressed points of practical importance on their memory by illustrations drawn from his own enormous experience.
He resigned the post of Professor of Midwifery in
In his private life he was a man of great simplicity and
simpleness
of mind; his personal habits were most abstemious; he was practically a teetotaller, although well able to appreciate good wine;
and until he was over eighty years old never took more than two meals a day. He was an exceptionally early riser, being seldom in bed after
Comment: these were subsequently shown to be
uredospores
, rather than the cause of cholera - s
ee
http://www.johnpowell.net/jsmrs/index.html
,
which also documents his interest in anaesthesia; he proposed 4 of the 8 books on anaesthesia bought by the Medical Reading Society between 1847 and 1858.
This obituary is from the International Journal of Obstetrics. His obituary in the BMJ can be found at
Joseph Griffiths Swayne, 38th of member of Medical Reading Society (1845 - 1858)
|