R Yates, Paul Christian, 1836-1907.
648
Journal, 1880-1905.
One volume.
MICROFILMThis is a
journal diary kept by Dr. Paul C. Yates, a physician in
Paul Christian
Yates was born in
Dr. Yates’s journal affords excellent illustrations from the practice of a small town/country doctor in the late nineteenth and very early twentieth centuries. Although antiseptic regimens were just coming into use, Yates lacked the antibiotics, surgical facilities, and technical apparatuses, such as x-rays, that would soon revolutionize the medical profession. His medicines, always carefully described as to formulation and dosage, consisted mainly of narcotics, stimulants, anodynes, and astringents. He could relieve pain and perform basic manipulations, but he had little curative power. Nevertheless Dr. Yates assisted his patients to the best of his knowledge and ability. The journal shows that he kept up to date with medical literature and that by the later years described here he was aware of the microbe theory of disease, although except for very basic antiseptic precautions he had few weapons at his disposal.
A large portion of the journal (pages 66-141) is devoted to an essentially chronological list of Dr. Yates’s “calls” to cases of childbirth. While many accounts are brief (“natural labor male child both did well”), more complicated cases are described in considerable detail. Without facilities for Caesarian surgery, care for premature infants, or treatments of hemorrhages and subsequent infections, many of these more difficult cases had unhappy endings. Many instances of self-induced or spontaneous abortions are also noted.
The journal has been typescripted, except for a few pages which had nothing to do with Dr. Yates’s practice. The entries were made in an almost-unused ledger printed for the North Missouri Railroad Company. This journal will be of considerable research value to medical and social historians of the period.
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