Background
Joseph O'Dwyer was born on October 12, 1841, in Cleveland, Ohio.
(Excerpt from Intubation in Chronic Stenosis of the Larynx...)
Excerpt from Intubation in Chronic Stenosis of the Larynx, With a Report of Five Cases It is now one year and nine months since I began the dilata tion of this patient's larynx, and there is scarcely any doubt that it will be necessary to continue it during the rest of her life. I am therefore beginning to teach her to insert the tube herself, which I do not think will be very difficult, as she pos sesses an unusual amount of pluck. If this patient omits her iodide, of which she was taking sixty grains daily when she came to me and which I increased to ninety, for any length of time, points of ulceration appear in the larynx and on the posterior wall of the pharynx. The metal tube always produced some ulceration where it exerted the most pressure, especially on the anterior surface of the arytenoids, but this has not occurred to any extent with the light vulcanite tube. I have used the latter several times in this case, and while the patient does not swallow nearly as well with it as with the metallic tube, she is convinced that it causes less irritation, and that expectoration of the tenacious mucus is much easier. Although swallowing of both solids and liquids was very imperfect, this patient found no difficulty in taking an ample supply of nourishment. Liquids were swallowed better while she was lying on the back. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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(Excerpt from Analysis of Fifty Cases of Croup Treated by ...)
Excerpt from Analysis of Fifty Cases of Croup Treated by Intubation of the Larynx Another case occurring in my own practice about the same time was that of a girl, aged seven years, in whom the larynx was invaded almost coincidently with the appearance of the exudation in the pharynx. Urgent dyspnoea lasted throughout the second night and up to noon of the third day, at which time I visited the patient with the intention of intubating. I waited for the effect of five grains of tur peth mineral, which acted promptly, and gave so much re lief that the Operation was postponed. Croupy cough, with loss of voice and occasional attacks of spasmodic dyspnoea, continued for a week longer, but operative interference was never necessary. The air was kept moist by a constant supply of steam carried under a sheet thrown over the head of the bed, the latter being very high and the temperature of the room at about 75° F. Dover's powder in doses of two grains was found very effectual in relieving the painful irritating cough and the spasm of the glottis to which it gave rise. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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(Excerpt from Intubation: Read Before the Wayne County (De...)
Excerpt from Intubation: Read Before the Wayne County (Detroit) Medical Society Eighteen years ago intubation was a novel procedure in Detroit. Today it is practically the only operation per formed for the relief of laryngeal stenosis, whether acute or chronic. After passing the gauntlet of criticism, through which every operation must pass, it has been found superior in every respect to its predecessor, tracheotomy. In pre-antitoxin days there were a few objections offered, which justly, perhaps, might be reconsidered. About the Publisher Forgotten Books publishes hundreds of thousands of rare and classic books. Find more at www.forgottenbooks.com This book is a reproduction of an important historical work. Forgotten Books uses state-of-the-art technology to digitally reconstruct the work, preserving the original format whilst repairing imperfections present in the aged copy. In rare cases, an imperfection in the original, such as a blemish or missing page, may be replicated in our edition. We do, however, repair the vast majority of imperfections successfully; any imperfections that remain are intentionally left to preserve the state of such historical works.
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Joseph O'Dwyer was born on October 12, 1841, in Cleveland, Ohio.
Joseph O'Dwyer received a common-school education and commenced the study of medicine in the office of a Dr. Anderson in London, Ontario, Canada. Having served two years of apprenticeship, he matriculated at the College of Physicians and Surgeons, New York, United States, where after two terms (four months each) he graduated in 1866. His graduation thesis dealt with pyemia.
On competitive examination at the College of Physicians and Surgeons Joseph O'Dwyer was appointed resident physician to the Charity (now City) Hospital on Blackwell's Island. During an epidemic of cholera there, he contracted the disease. When another cholera epidemic developed in New York City, he was among the volunteers who went to Hart's Island to care for the patients. He again contracted the disease and a little later, typhus. Following two years' service on Blackwell's Island, he took up private practice.
In 1872 he was appointed to the staff of the New York Foundling Asylum. Diphtheria was the scourge of institutions for children at that time and in many cases death occurred from asphyxia: the false membrane, from which diphtheria in its Greek etymology is named, choking up the tiny larynx. O'Dwyer experimented with many ways of keeping the larynx open. Intubation proved successful, after he had worked long to devise a satisfactory tube. He saved the lives of many children and reported his results to the New York Academy of Medicine. Specialists in children's diseases who heard his paper declared that his idea was not new, that it had been tried unsuccessfully by the ancient Greeks and by the French in the modern time, and that it had been condemned by the Academy of Medicine in Paris. All agreed that intubation was infeasible, since the larynx would not tolerate a foreign body. Extremely sensitive, O'Dwyer was much hurt by this reception of the report of his years of labor, and for several days would not leave his house. He continued his work, however, and physicians who visited the Foundling Asylum were soon convinced of the life-saving value of intubation.
Dr. Abraham Jacobi, the distinguished children's specialist, shared in the first objection to O'Dwyer's report, but later, as president of the Academy of Medicine, he recanted and highly praised O'Dwyer's work because of his successful solution of all the problems connected with it. Others were soon won over. O'Dwyer showed that his tube could also be used with great benefit for adults suffering from constriction of the larynx.
By special invitation he discussed the subject at the annual meeting of the British Medical Association in Bristol, England, July 1894, in a paper published in the British Medical Journal, December 29, 1894, under the title "Intubation in the Treatment of Chronic Stenosis of the Larynx. " Dr. W. P. Northrup, well-known children's specialist, praised O'Dwyer's "genius as an inventor, his achievement in adding a great operation to the equipment of the profession, thus making the most conspicuous real contribution to medical progress within the last fifty years".
O'Dwyer's first publication on intubation, "Intubation of the Larynx, " appeared in the New York Medical Journal, August 8, 1885; other articles include "Intubation in Laryngeal Stenosis Caused by Diphtheria, " American Lancet, December 1893; "The Present Status of Intubation in the Treatment of Croup, " New York Medical Journal, March 10, 1894; and "The Evolution of Intubation, " Transactions of the American Pediatric Society (1896).
He was also among the first to recognize the value of diphtheria serum as a remedy, though there were many skeptics in the medical profession in the early years of its use, and the success of this remedy would mean inevitably lessened need for intubation. In his later years he was occupied with special research on the treatment of pneumonia. His results were bringing encouragement when a brain abscess put an end to his career.
(Excerpt from Analysis of Fifty Cases of Croup Treated by ...)
(Excerpt from Intubation in Chronic Stenosis of the Larynx...)
(Excerpt from Intubation: Read Before the Wayne County (De...)
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Joseph O'Dwyer married Catherine Begg. They had eight sons, four of whom died of "summer complaint, " victims of the infected milk of the period.