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Surgical Stories

Frederick Treves


The Elephant Man and Other Reminiscences

Sir Frederick Treves
Cassell and Company, London, 1923.
 

Frederick Treves (1853–1923) was a prominent British surgeon. His renown came from a number of directions: befriending The Elephant Man, Joseph Merrick; performing the first appendectomy in England in 1888, and saving the life of Edward VII by draining his appendiceal abscess in 1902. For the latter, he was made a Baronet.  

Treves wrote a number of books on surgical topics as well as travelogues. His Reminiscences were written in a personal vein and offer a variety of his experiences over the years in hospital working with patients and especially with The Elephant Man whose story is the author’s first essay.

Joseph Merrick’s story is not long, much like his life, but it is touching and well written like the whole book. Born The Elephant Man, Merrick became the focus of a freak show until dumped by the proprietor. Merrick had few possessions, but one of them was the card of surgeon Treves.

Making up for the ill fortune of his bodily deformities, the universe brought him to the hospital where Treves attended. Treves then found him a home in a wing of the hospital where the surgeon visited him regularly. Merrick eventually attracted other friends from the highest classes of English society and lived a story book life in his last few years. Treves was for him then a Healing Angel. Merrick must have died with a smile on his distorted face.

Treves’s other reminiscences cover a wide range of experiences mostly on the dark and morbid side, but generally having positive endings. The Old Receiving Room is a fascinating picture of an emergency room of the late 19th century. Breaking the News tells of the burdensome task of confronting patients with bad news. Other chapters discuss what neurosis looked like in those days, the hardship of being a woman in Victorian times, and the general stresses of a medical life in a different era.

There are some bright, cheery and upbeat moments in the Reminiscences, but they are not for the faint-hearted.

 
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Richard Selzer



Down from Troy: A Doctor Comes of Age

Richard Selzer
William Morrow, NY NY, 1992.

Richard Selzer recounts growing-up days in upstate New York in this fine book. His early years were spent in the Depression Days and he then experienced a far different world than that of our modern times. His memory seems to have been finely honed and his writing exquisite.

Following his brother Billy into life, Dicky had a ringside seat for much that occurred in his small town of Troy on the Hudson River. Mother had dreamed of being on stage and frequently fell into song while raising her sons. Father was a physician who pointed him in other directions. [Julius Selzer died suddenly when Richard was only 13 years old.]

In either case, young Selzer was exposed to many experiences and opportunities to learn. But from early on, he was pulled in the two directions of medicine and artistry, eventually of the writing kind. Dr. Selzer turns back and forth between these sometimes opposing, other times complementary, parts of life in story after story.

From a practical standpoint, his Father had the greatest influence as he occasionally followed him in the office, made rounds in the hospital, visited homebound patients, and attended to prisoners at the Renssalaer County Jail. Father also introduced him to the Central Tavern and Mr. Duffy who held sway there for hours daily at the bar. Duffy, like his mother, taught the young Selzer about artistry. While it was common for Duffy’s listeners to react negatively to some of his tales, he would turn back to them saying, “We are not a liar. We are a story teller.”

Refreshingly, the author also takes detours far into the future at this turn and the next. So, the book is not totally chronological. He gives his opinions about medicine and hospital care, tells about his tour in Korea during that War, remembers a touching meeting in Texas with a Korean woman with whom he had a short-lived thirty years earlier during the war, discusses the wonders of anatomy and the gifts of Leonardo Da Vinci in that arena, recalls being exposed early in medical school to the “dungeon” like environment in which electro-shock therapy was administered, retells visiting a crematorium in his latter days.

Selzer’s detours come up unexpectedly. But they allow for breaks in the action and for rounding out his experiences. And, the reader is never sure what the next chapter, or page, will bring.
 
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Richard Selzer



Doctor’s Stories


Richard Selzer
Picador, NY, NY, 1998.


This is a collection of Dr. Selzer’s stories gathered from several of his books. The potential reader should be aware that Selzer was not only a surgeon but a man who was attracted to human trials many of which ended in death.

At the same time, Selzer became a prolific writer. A sensitive, caring human being with insights, feelings and a will to share them rather openly.

Selzer was fluent with his pen. But, he also had a vital imagination and an eye to see things that surely few other physicians as well as fellow humans possess. In many vignettes, Selzer gives the clue that he perceived light, luminosity, ghosts shining from patients and in extraordinary incidents.

Practically all of his stories circle around illness and injury, medicine and surgery. But, he also places the narratives seemingly here there and everywhere. From the Pampas of Argentina to Tuscany, Honduras to Houston, Ireland to Norway and France, America to Africa. His stories also spread across time as well as space. A number of traditions and religions are represented in this collection.

While pain and suffering are common to The Doctor Stories, there are also moments of healing and transformation. The former are worthy of reading. The latter give the reader a bonanza for sticking through the struggles.


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