SURGICAL REFORM.

A meeting was held yesterday evening at the Freemasons' Tavern, in

pursuance of an advertisement calling on the "Friends of Surgical

Reform, the Supporters of a free Medical Press, and the humane

Contributors to our Hospitals and Infirmaries," to meet there,

in order to adopt measures for presenting Mr. Wakley, the Editor

of the Lancet, with some decided mark of their approval of his

spirited conduct, in his late trial in the Court of King's Bench,

at the suit of Mr. Bransby Cooper, and of the principles which he

so powerfully advocated on that occasion.

[Mr. Patey, who was called to the chair, stated the object of the

meeting; but as his speech was rather long, and contained nothing

of the least interest, we omit it.]

_Mr. Waller_, in proposing the first resolution, adverted to the

terms of the advertisement, and remarked that the question for

them was not whether they would support Cooper against Wakley, or

Wakley against Cooper; but whether they would have a free medical

press or not--(cheers). Every body must admit that there was

only one medical publication that was entitled to be considered

free--only one that dared to tell the truth. Another had been

attempted to be set up against it, but this wretched rival was

gagged and manacled, and its reports were only a medium which

distorted truth, and were almost unintelligible. It was not,

however, to support any particular man, or publication, that he

came to that meeting, but to support the general cause in which

they were all interested. He concluded by moving, as the first

resolution, that "the best interests of the medical profession and

of the public are identified with the cause of medical and surgical

reform; and that Mr. Wakley, as Editor of the Lancet, having given

the first impulse to that cause, and having subsequently advocated

it with undeviating firmness and fidelity, is entitled to the

cordial thanks and support of this meeting."

_Mr. Mills_ seconded the resolution.

_Dr. Shiel_ said this was an important meeting, in his opinion;

for, if this resolution were passed, it would identify the medical

profession with the Editor of the Lancet. If the principle

embodied in that resolution went forth to the world, it would be

attended with consequences deeply injurious to the profession.

He knew neither Mr. Bransby Cooper nor Sir Astley, and therefore

he was perfectly impartial. The first question was, how far the

medical press was conducted with advantage to medical science and

the members of the profession. Now he contended, but with great

respect, and disclaiming all personal hostility, that the Lancet

had nowise contributed to the progress of medical science or the

improvement of the profession--(loud hissing, and some cheers).

He trusted that the meeting had not been got up by a few of the

friends of Mr. Wakley, and he was sure that that gentleman was

too respectable and too dignified in his proper person to need

any such attempt--(applause). He trusted that the meeting was

before the British public to ascertain how far the Lancet was

useful or advantageous to medical science; and he hoped that,

however partial the gentlemen present might be to Mr. Wakley, they

would be governed in what they should do by the real interests of

science--(hear, hear). The question was one of great interest; for

it was one that embraced not only the freedom of the press but the

advancement of medical science. With respect to the freedom of the

press, they lived in a country where the law always maintained

that principle. When Mr. Abernethy had applied for an injunction

against the Lancet, Lord Eldon said that there could be no doubt

that the Lancet was a most useful publication--(applause). He did

not know whether that observation had been brought forward at the

late trial; but taking the case--what was it? It appeared that the

operation was one of peculiar difficulty, as stated upon oath by

some of the most experienced surgeons of the day. This operation

was laid hold of by the Lancet, and published not as a medical but

as a tragical performance, in which all persons without science

or knowledge were appealed to, and no opportunity afforded to Mr.

Cooper to vindicate himself. Here, then, was a low and pitiful

attempt made through the medium of malice and calumny (loud hisses

and uproar). Here was a rude and pitiful attempt by malice and

calumny (renewed signs of disapprobation). And yet it was contended

that this had advanced the medical profession. The evidence on the

trial went to shew that the dangers by which the operator had been

surrounded were not small, and that there was no just reason to

accuse him of unskilfulness in what he did; and was it then to be

said, in the face of the British public, that a Meeting had been

held at the Freemasons' Tavern to offer praise and reward to the

individual whose conduct had, by the verdict of the Jury, been

stamped with the accusation of untruth (hear, hear! and hisses)?

He would not deny that there was a degree of talent displayed in

the Lancet; but neither could it be denied that it was a public

depredator by means of reports surreptitiously obtained; and the

title of "literary raven," which had been applied by Sir James

Scarlett, appeared to him to truly depict its character (great

hisses and uproar). Was it to be contended that any one had a right

to come into a private lecture-room, and catch up all he could

hear, and then to publish what he had thus surreptitiously and

fraudulently obtained (immense uproar and hisses)? As far as the

medical interest was concerned, he looked upon the Lancet as one of

the most injurious publications that had ever appeared (hisses).

All the best writers on the subject had dwelt with peculiar

emphasis on the necessity of secrecy among the members of the

profession, but the Lancet broke through this good rule, and made

public whatever came within its notice; and he had no doubt that

if it could get at the cases that occurred in private practice, it

would give them without any scruple (uproar).

The _Chairman_ begged to remind the speaker that at all events Mr.

Wakley had not as yet done so.

_Dr. Shiel._--I am arguing on the principle which appears to

actuate Mr. Wakley.

_Mr. John Elliot_ rose to order. He could not allow Dr. Shiel to be

going upon suppositions; the thing that he supposed had never been

done.

_Dr. Shiel_ was sure that whatever turn might be given to the

subject in England, that at all events the conclusions that the

Meeting appeared to be coming to would be resisted abroad. The

weight of Sir Astley Cooper's name abroad would overpower any

such attempt, and, in fact, would render it contemptible; so that

any attempt to prop up so low, pitiful, and mean an attack, must

inevitably be attended with disgraceful failure (hisses).

A gentleman observed, that he was much surprised at what had fallen

from Dr. Shiel. He had been induced to suppose that the Lancet

possessed talent, as he had heard it praised in so many directions,

and he certainly had never heard till that evening that it was

only to be found in the hands of the illiterate (hear, hear! and

a laugh). He had always understood that it was only destined for

the use of students and other members of the profession, and that

it was likely to be of great use in reforming the abuses of the

medical practice (hear, hear! and cries of "So it will!"). For his

own part, he was glad that medical men were occasionally cut up,

because when they did what was wrong it was proper that they should

be told of it; and when they did what was right, it added a fresh

stimulus to their exertions (applause).

_Mr. Thomas_ observed, that he had not intended to say any thing at

the present meeting; but as Dr. Shiel, in the course of his speech,

had thought proper to make some remarks tending to calumniate Mr.

Wakley's witnesses on the trial, of which he was one, he felt

called upon to say a few words (hear, hear!). Dr. Shiel seemed to

consider them all as the mere scum of the earth--as a miserable

band, collected together to support Mr. Wakley, whatever might

be the consequence; as though he was desirous of going the whole

length of the Medical Gazette, which stigmatised them for what it

called "their deep-laid contrivances--their rankling enmities, and

their bitter revenge." For himself he could say, that it was not

till the evening previous to the trial that he had been supœnaed,

and that he had previous to that time never seen Mr. Wakley.

_Dr. Shiel_ said that he could not have alluded to the gentleman

who was speaking, as he did not even know his name.

_Mr. Thomas_ then went on to observe, that as Dr. Shiel appeared

to be the advocate of the opposite party, he also supposed that he

was a contributor to the aristocratical (Medical) Gazette ("No,

no!" from Dr. Shiel). If he were not, at all events he had put

forward ideas that were quite consonant to the sentiments expressed

in that Journal. In giving his testimony, he had not spoken of the

instruments employed in the operation, but of his own impression

on the subject, having been present thirty-five minutes; and that

impression certainly was, that the operation had been performed in

a bungling and unscientific manner (loud applause, mingled with

hisses). Was he then, because he happened to be a witness on the

occasion, to be put down, pell-mell, by the unfounded imputations

of any one? The highly-principled, honourable-minded Medical

Gazette, that had determined never to admit any personalities, had

loaded Mr. Wakley and Mr. Lambert with all sorts of abuse. Was

this what they intended to call acting on principle (applause,

and cries of "No, no!")? He certainly had heard that Mr. B.

Cooper was an amiable man in private life; but what had that

to do with the question at issue? What had they to do with the

private character of a man in a public office (cheers)? Surely the

witnesses of Mr. Wakley were as competent to speak of the manner

in which the operation was performed as those who had not been

present (applause); and as he had seen many operations performed

he conceived that he was a competent judge of the skill of the

operator (applause).

A gentleman, who appeared to be a student, thought that the

introduction of any attack upon the witnesses, or indeed of

anything that occurred at the trial, was irrelevant (hear,

hear!). The way to answer a speaker was not by hisses, but by

disproving his arguments and rebutting his facts (applause). If

questions were to be settled merely by strength of lungs, he

was afraid that instead of the right side prevailing, success

would uniformly attend those whose physical powers probably much

exceeded their mental (laughter and applause). He could not agree

with the gentleman who had stated that the law of England was

the protector of the freedom of the Press; for it was well known

that the Judges had decided, over and over again, that truth was

a libel (applause). It was only the vehicle that conveyed public

sentiment, and not the force that impelled it forward. He was

convinced that any attempt to connect medical reform with Mr.

Wakley should be studiously avoided and disclaimed. As a friend of

free discussion in every case, and anxious to uphold the principle,

whatever he might think of the instrument, he intended to propose,

as an Amendment, "That the latter part of the Resolution, relating

to Mr. Wakley, should be omitted." This would save the cause of

medical reform from being identified with Mr. Wakley, of whose

impartiality he would give a specimen. In the last number of the

Lancet, the report of the late trial was given from the Times, but

with a remarkable omission. The Lord Chief Justice had rebuked

one of the defendant's witnesses for not answering the questions

in a straightforward manner, and this passage was omitted. If Mr.

Wakley would do this on such an occasion, would he be more candid

when the public eye was less upon him? He, therefore, wished to

have the question of medical reform kept separate from Mr. Wakley

individually. The first part of the Resolution would be carried

without a dissenting voice, as on that principle they were all

agreed, whatever they might think of the conduct of individuals.

[One or two persons then made speeches for or against the

amendment; which was negatived, and the original motion carried.]

_Mr. Hensley_ then, after observing that Mr. Wakley's conduct

was highly praiseworthy, because it tended in every way to the

benefit of humanity, moved the second Resolution, which was to the

following effect:--

"That the purposes for which the Hospitals and Infirmaries of

the Metropolis were founded, and that the views of the humane

contributors to their funds, are materially promoted by the

weekly publication of reports detailing the medical and surgical

treatment of the unfortunate patients; and that Mr. Wakley having

originated the practice of publishing Hospital Reports, has

conferred important benefits on Medical Science, and on the cause

of humanity."

The resolution was then carried unanimously.

_Mr. John Elliott_, on moving the third resolution, said that he

did not come there to interfere in the quarrels of Wakley and

Cooper. They had acknowledged that Mr. Wakley's exertions had been

very conducive to medical reform, by the last resolution they

had passed. Indeed, there could be no doubt that he had greatly

served the cause of humanity, by preventing idleness on the part of

medical persons, and compelling attention to the poor placed under

their care. It was his opinion that the editor of the Lancet ought

to be indemnified for the whole expense entailed on him by the

late trial, including the damages awarded against him. This would

not be a private subscription, like Brodie's, but one open to the

world, and not to be questioned in a court of justice. He would not

support Mr. Wakley if he had attacked private character; but he

would, as the editor of the Lancet and the representative of the

medical free press. He concluded by moving--

"That the independent and impartial principles on which the Lancet

was first established, have been preserved by Mr. Wakley at all

risks; and as it was acknowledged at the late trial, that the

legal expenses of his opponents on another occasion have been

defrayed by certain hospital physicians and surgeons[23], it is

farther resolved, that a subscription be opened for the purpose of

defraying the expenses of the late action."

[Dr. Shiel here spoke very strongly against entering into a

subscription--while some spoke in its favour.]

A discussion then arose about the question of whether an account

of a second operation for lithotomy by Mr. Cooper (in which he had

been successful) had been sent to Mr. Wakley? It was stated that

such was the case, but as the action for the present libel was then

commenced, _Mr. Wakley thought that he perceived something in that

second report that might tend to aggravate the damages, and which,

at the same time, would be farther injurious to Mr. B. Cooper_.

The third resolution was then carried by an immense majority, only

five hands being held up against it.

_Mr. Evans_ moved, "That the statement of professional facts in an

unprofessional form, such as the dramatic instead of the narrative,

is highly reprehensible in the individual, and detrimental to the

best interests of science."

This resolution, after some turbulent discussion, was withdrawn.

_Mr. J. L. Stevens_ then moved, as the fourth resolution, that "In

accordance with the feelings this meeting has expressed, Mr. Wakley

be invited to attend a Public Dinner, and that a Committee be

forthwith nominated to arrange the same."

_Mr. Rogers_ seconded the resolution, and it was carried

unanimously.

The members of the committee were then named, and power given to

them to add to their number.--The chairman then vacated his office,

and the meeting separated.--_Morning Chronicle, Wednesday._

In the course of the evening, the conduct of one of the speakers

gave for a short time an amusing turn to the discussion, which for

a great part had appeared to many extremely dry and tedious. The

gentleman in question, (not a medical man), in order to show the

opinion he had entertained of the object of the meeting, proposed

to read for the audience a letter which he himself had written to

the chairman of the committee, asking permission to attend. He

began, but he had scarcely got through a few words when he declared

he was not able to make out his own writing, and requested the

chairman to assist him. The chairman made the attempt, but was not

more successful. Another gentleman then undertook the task, but

with no better effect. The audience received each unsuccessful

effort with loud laughter, which so much annoyed the writer that he

took back the letter, and again tried to go through with it, but

not being able to make it out, he proposed to read for the meeting

two letters which he wrote on the same subject to the editor of a

Sunday paper. (Loud laughter followed this proposition, which was

increased, when, on an attempt to read one of them, he had no more

success than before.) The gentleman, after complaining of the want

of courtesy in the meeting, resumed his seat, declaring that he

would give the letters to the reporters.--_Times, Wednesday._

The London Medical Gazette; December 27, 1828 Being a Weekly Journal of Medicine and the Collateral Sciences · 第 40 / 58 题