Hektoen International

A Journal of Medical Humanities

Tag: Tuberculosis

  • Book review: The Black Angels: The Untold Story of the Nurses Who Helped Cure Tuberculosis

    Howard FischerUppsala, Sweden “Well, son, I’ll tell you:Life for me ain’t been no crystal stair.”– Langston Hughes, “Mother to Son” At the start of the twentieth century, Dr. Hermann Biggs, chief of the New York City Department of Health, declared that tuberculosis (TB) was a reportable communicable disease. The city would be able to count…

  • BCG: The vaccine that took thirteen years to develop

    Howard FischerUppsala, Sweden “Perseverance, secret of all triumphs.”– Victor Hugo Tuberculosis of the lungs (“consumption”) was one of the two main causes of death (along with pneumonia) at the start of the twentieth century.1 In the US, pulmonary tuberculosis killed 194 persons per 100,000 in 1900.2 In one Missouri hospital, nearly 25% of patient deaths…

  • Sanitariums as cure for consumption

    The institutions variously called sanitariums (from sanare, “to cure”) or sanitariums (from sanitas, meaning “health”) became all the rage around 1850. They were especially popular with the upper classes, as exemplified in Thomas Mann’s The Magic Mountain by the young Hans Castorp, who decides to spend a few days with a friend at a Swiss…

  • The climate cure: Treating tuberculosis in the nineteenth century

    Brendan PulsiferAtlanta, Georgia Tuberculosis pervaded nineteenth-century American life like no other disease. More commonly known as consumption at the time, it was responsible for one in five deaths, making it the deadliest pathogen for people across ages, genders, and classes. Doctors often described tuberculosis as the most dangerous illness in their clinical practice because of…

  • Christopher Wren’s contributions to medicine

    JMS PearceHull, England An extraordinary natural philosopher and Renaissance man, Christopher Wren (1632–1723) (Fig 1) was primarily an astronomer and architect.1 He is remembered mostly for his work after the Great Fire of London of 1666 as designer of St. Paul’s Cathedral, originally erected in AD 604. Wren laid the first stone at on Ludgate…

  • A historical review of Crohn’s disease

    Anagha BrahmajosyulaBangalore, Karnataka, India Crohn’s disease, a form of inflammatory bowel disease, may cause inflammation in any part of the gastrointestinal tract, from the mouth to the anus, with a predilection for the ileum. While much is known today about the underlying pathology of the disease, historically, this condition was thought to be a form…

  • Some Dickensian diagnoses

    JMS PearceHull, England What a gain it would have been to physic if one so keen to observe and facile to describe had devoted his powers to the medical art.– British Medical Journal obituary, 1870 A huge biographical literature relates the turbulent life of Charles Dickens (1812–1870) (Fig 1) from its humble, poverty-ridden beginnings to…

  • Love and syphilis: The marriage of Gustavo Adolfo Bécquer

    Nicolas Roberto Robles Diego Peral  Caceres, Spain   Figure 1. Portrait of Gustavo Adolfo Bécquer. Valeriano Domínguez Bécquer. Museo de Bellas Artes de Sevilla. Via Wikimedia. Public domain. ¡Cuánta nota dormía en sus cuerdas, como el pájaro duerme en las ramas, esperando la mano de nieve que sabe arrancarlas! How many notes sleep in its…

  • Koch’s postulates revisited

    JMS PearceHull, England Van Leeuwenhoek (1632–1722), a Dutch botanist, using his early microscope observed single-celled bacteria, which he reported to the Royal Society as animalcules. The science of bacteriology owes its origin to two scientists of coruscating originality, Louis Pasteur and Robert Koch. Pasteur may be described as master-architect and Koch as master-builder of the…

  • Jane Eyre and tuberculosis

    Afsheen ZafarRawalpindi, Pakistan I had just put down my pen after the last patient left the room. She somehow reminded me of the Brontë sisters. She had been diagnosed with tuberculous axillary lymphadenitis after a biopsy but otherwise seemed to be in perfect health. Apparently she was not much disturbed by the diagnosis since tuberculosis…