Thomas Mütter was a surgeon who would transform the globe of medicine . Partly that ’s because he invented anesthesia , but mostly it ’s because he pioneered the idea of patient - rivet treatment . InDr . Mütter ’s Marvels , a fantastic new book by Cristin O’Keefe Aptowicz about his life , we learn how Mütter transformed a profession known for butchery into one known for care . We ’ve get an excerpt .

Here ’s a description of the volume from the publishing company :

conceive of a time in medicament where a doctor who just washed his hand and instrument before a procedure was considered “ finicking and affected . ”

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Imagine a place where if an sick woman refused her Dr. ’s treatment of apply leeches to her uterus , it would be absolutely satisfactory for him to scream , “ Well , then , madam , I suppose you will die ! ”

envisage an era where all operations , no matter how brute or invasive , were perform on patient who were wide - awake and screaming , and who sometimes even attack their doctor — often with the surgeon ’s own instruments .

This was the world that Dr. Thomas Dent Mütter was have a bun in the oven into , and the one which he was designate to change .

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In DR . MÜTTER ’S marvel : A True Tale of Intrigue and Innovation at the Dawn of Modern Medicine ( Gotham Books , September 2014 , Hardcover , eBook ) , poet and author Cristin O’Keefe Aptowicz explores the previously untold told life-time story of the military personnel with the famous name : a untried , handsome and determinedly magnificent sawbones whose natural endowment in the operating room and lecturing G. Stanley Hall were unrivaled in his lifetime .

DR . MÜTTER ’S MARVELS delve deep into the life of a humanity who was truly ahead of his time – from Mütter ’s early years as an orphan and clip spent studying cutting - edge surgical process in Paris , to his struggles to show himself in Philadelphia amidst the hideous contention among his fellow doctors — many of whom publically mocked Mütter ’s philosophies and innovations ( let in his devotion to pre- and post - operative care , employing anaesthesia , and even the sterilization of his tool ) .

And through Mütter ’s humanist eye , we are give a front row seat to the organic evolution of American practice of medicine : from bleedings and leechings to the standardization of aesculapian school ; from the discovery of anaesthesia to his residential district ’s frustrating underground to washing hands and desexualize tools ; from the unimaginable medical cause arouse from the rising slope of industrialism , to the challenges and creation birthed as the state march toward the Civil War .

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Although he only lived for 47 years , Mütter ’s impact within medicine is still felt , and his legacy lives on with his tremendously popular namesake museum . And now , with DR . MÜTTER ’S MARVELS , his unknown , inspiring and untold story can finally be shared .

Excerpt: Dr. Mutter’s Marvels

The fire department was … troubled . The all - volunteer companies were neighborhood - based , and just like the neighborhoods they had assert to protect , some “ were very respectable ” while others “ were the reverse , ” as one doctor subsequently watch .

“ The more humble and gentle the name of the [ firefighting ] caller , the more apt it was to be pugnacious , ” he recalled . “ For instance , ‘ The Good Will ’ would fight anything at any metre . ”

A spectator in the State House column was task to be on the lookout for fires . When one was tell apart , he would then alert all the fervor section en masse shot via taps on a buzzer . The disorderliness and topsy-turvydom that would take after those Vanessa Bell spigot was fabled .

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“ When there was a fire , hand engines and hosepipe baby carriage were scuff by men , a screech crew ran along the pavements , and subdued citizens got out of the way , as there was ‘ often a fight which would have bring in joy to the middle of a Comanche or Pawnee , ’ ” a Philadelphian recalled in harrowing point . “ peachy disorders and riotous demonstrations were frequent . . . the firemen fight back citizens , policemen and other fireman with painstaking impartiality . One summer , two rival fire companies oppose each other insteadof a fire in the neighborhood of Eighth and Fitzwater Streets and the engagement lasted all day . Two weeks after , the coach of the Franklin Hose was thrust into the Delaware by a rival company . ”

One of the major thought-provoking issues of 1840s Philadelphia was inebriation , and the violence and death that seemed always to accompany it . By 1841 , there were more than nine hundred taverns within Philadelphia County . In the Infected District , rummy was commonly sold for a penny a glass , which might explicate why the phrase “ Rum is at the root of the trouble ” was so commonly used when hash out the metropolis ’s problems .

The scourge that alcoholism posed to Philadelphia was so real that , by the other 1840s , the county supported nineteen moderation bon ton , which proudly claim a totality of seven thousand member . Total- abstention societies — radical that forbade their members from consume any alcohol whatsoever — topped them with more than ten thousand member .

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Still , rampant alcoholism was an government issue . When it came to the crushed class , alcohol- related criminal offense , hurt , and deaths only served to feast the pop opinion that the poor had earned their pile in life and thus merit no charity .

But it was n’t just the pitiful that suffer in this well over metropolis . Philadelphia ’s workings classes were consistently brutalized under the yoke of the liberal market .

Men of all ages and backgrounds arrived in Philadelphia daily — from Europe , Asia , and the American South — all look for work . The universe of the city burst from less than 140,000 the great unwashed in 1820 to more than 250,000 by 1842 , and substantial credit could be give to the city ’s industrial output .

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foundry , manufacturing plant , and mills of all sort could be find within the city ’s borders . There were mills for spinning cotton and weaving wool . Factories that built engine , fire engines , and chandeliers . The factories of Philadelphia produced , at their superlative , well-nigh one- 4th of the commonwealth ’s sword , and the urban center ’s twelve carbohydrate refinery made it the nation ’s largest individual provider of commercial lucre .

To keep this sinful confluence of businesses going , these factories , Mill , and metalworks take workers , but the city ’s explode universe always seemed to contain more eager workers than were needed . Philadelphians were often forced by circumstance to bear abysmal pay for what inevitably prove to be long hours of relentlessly grueling work .

Unskilled factory private detective , ember heavers , shipyard doer , and carpenters were paid less than a dollar a day to work fourteen hours a day , six days a calendar week . Most factories pick out only the Fourth of July as a holiday , and holiday and sick time were , of grade , nonexistent .

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Men had to compete not only with each other for these punishing jobs , but with children as well . In a time before law veto kid working class , factory and John Stuart Mill proprietor were well-chosen to put even the untested children to work . In one striking compositor’s case , the Dyottville Glass Works near Kensington employed 300 people in its industrial plant . Of those 300 employee , 225 were boys , “ some not yet eight years of age . ”

Young girl were not exempt from the enraged trap of factory oeuvre . The area ’s matchstick manufactory in special seek them out , give a pay of $ 2.50 a week . The girl blithely took the work to help oneself keep food on their families ’ tables , having no idea , of course , that they were being tardily poisoned by the manufacturing plant ’ dangerous chemical substance . The girl worked prospicient hour in ill ventilated room , licking their own chemical - coated fingers often to help oneself in treat so many small slivers of Grant Wood , so difficult to see and keep track of in the coloured manufactory setting . And what would start out as just toothache and abominable swollen gums would fleetly germinate into rot tissue paper . presently the girls ’ jaw were cover with large crying abscesses so mysterious , the off-white could be run into and the injury would unremittingly leak out a foul - smell out discharge .

The condition became so common it would eventually earn a sobriquet : phossy jaw ( phosphorus being the active component in matches during the mid to tardy nineteenth century ) . And if the slow defacement ( with keep company brain harm and inevitable reed organ failure ) were n’t horrific enough , the chemicals the workers ingested daily stimulate the exposed mandibular bone of these now - deformed fille to shine greenish Edward Douglas White Jr. in the night .

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Despite all the advancements of the time , the aesculapian professing simply could not keep up with the more and more deadly wellness challenges that this newly industrialize city presented . And one of its prominent failings was in woman ’s health .

Reprinted by organization with Gotham Books , a member of Penguin Group ( USA ) LLC , A Penguin Random House Company . Copyright © Cristin O’Keefe Aptowicz , 2014 .

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