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Holmes, Oliver Wendell, 1809-1894

"Medical Essays, 1842-1882"

' A woman in the country, who was employed as
washerwoman and nurse, washed the linen of one who had died of puerperal
fever; the next lying-in patient she nursed died of the same disease; a
third nursed by her met with the same fate, till the neighborhood,
getting afraid of her, ceased to employ her."
In the winter of the year 1824, "Several instances occurred of its
prevalence among the patients of particular practitioners, whilst others
who were equally busy met with few or none. One instance of this kind
was very remarkable. A general practitioner, in large midwifery
practice, lost so many patients from puerperal fever, that he determined
to deliver no more for some time, but that his partner should attend in
his place. This plan was pursued for one month, during which not a case
of the disease occurred in their practice. The elder practitioner, being
then sufficiently recovered, returned to his practice, but the first
patient he attended was attacked by the disease and died. A physician,
who met him in consultation soon afterwards, about a case of a different
kind, and who knew nothing of his misfortune, asked him whether puerperal
fever was at all prevalent in his neighborhood, on which he burst into
tears, and related the above circumstances.
"Among the cases which I saw this season in consultation, four occurred
in one month in the practice of one medical man, and all of them
terminated fatally.


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