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William Osler: A Life in Medicine

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Title: William Osler: A Life in Medicine
by Michael Bliss
ISBN: 0-19-512346-8
Publisher: Oxford Press
Pub. Date: 15 October, 1999
Format: Hardcover
Volumes: 1
List Price(USD): $37.50
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Average Customer Rating: 5 (7 reviews)

Customer Reviews

Rating: 5
Summary: A Real Eminent Victorian
Comment: William Osler remains an iconic figure in American medicine. Osler is taken often to epitomize the physician who brings a crticial and scholarly approach to the bedside in conjunction with compassion and empathy. In this very well written biography, Bliss traces Osler's life, his achievements, and examines how he assumed iconic status and whether or not this status is deserved. Bliss is particularly well equipped to undertake this task. A well known specialist on Canadian history, he has written other fine books on medical history in a Canadian context.
Bliss presents Osler as a product of the rising British Victorian middle classes. The remarkable son of impressive parents, Osler was the son of an English naval officer turned Anglican minister and his equally intelligent wife. Raised in rural Ontario when this part of Canada was still a frontier, Osler's parents inculcated respect for learning, dedication to hard work, and clearly taught the value of community service. William Osler was not an outlier in this family. One of his brothers became a prominent businessman and two other brothers became important figures in Canadian law and politics. An early interest in natural history (biology) lead Osler to medicine. Trained in then provinicial Toronto and Montreal, he finished his education in some of the great teaching hospitals of Europe. Spotted by his mentors in Montreal as a future star, he was brought back to McGill to teach at the modest medical school. At McGill, Osler launched the career of careful clinical observation, pathologic correlation, and teaching that would propel him to the apex of his profession. His growing reputation led to appointments at the University of Pennsylvania and then to the nascent Johns Hopkins University School of Medicine. At Hopkins, he became the first Professor of Clinical Medicine and introduced the teaching methods that revolutionized medical education in the USA. Relatively little of what Osler did was truly novel. Clinico-pathologic correlation has been standard method for expanding medical knowledge for decades and the clerkship method of teaching had been used in Britain and continental Europe for some time. Osler carried these methods to new heights. In his clinical practice, in his teaching, and in his great textbooks, Osler summarized and codified almost all of 19th century medicine. He was not a notable scientist, though his description and characterization of several important clinical conditions was very valuable, but he brought the best science of his time to the bedside and set clinical medicine on the course of drawing from systematic scientific work. In terms of his personal accomplishments and the example he set for his numerous trainees, his impact on 20th century medicine was immense.
Osler's reputation as a fine physician was deserved. Bliss shows him to be an warm and compassionate individual who was regarded often with great affection by his patients. Blessed with a generous and kindly personality, he enjoyed a wide circle of friends and a happy family life. In important respects, Osler exemplifies some of the most important and most admirable features of the Victorian period. His sense of virtue and service was very strong but he was not a prig and had relatively liberal values. Traveling in Germany towards the end of the 19th century, he noted and deplored rising anti-Semitism. He appears to have been devoid of overt anti-Semitic feelings and had a number of Jewish trainess, all of whom he appears to have treated with his usual combination of high expectations and civil behavior. Alone among the faculty at Hopkins, he supported the admission of women, though he did not really believe in female equality. Bliss spent years immersed in Osler's extensive writings and tremendously extensive correspondence, clearly likes and admires Osler, and his regard for Osler is reflected in the tone of this biography.

Osler was also that quintessential Canadian, the provincial boy who achieves fame on the wider stage of the USA or Britain. At the peak of his fame, he was the best known physician in the English speaking world and something of a minor celebrity.
Like all fine biographies, this book is about more than its central subject. It is valuable on the development of Canadian society, the growth of universities in the USA and Canada, the history of medicine, and the devastating impact of WWI.
This will be the standard biography of Osler and it is worthy of its subject.

Rating: 5
Summary: the good doctor
Comment: This is, quite honestly, a hefty tome, but no less may be expected when writing about the greatest American physician who ever lived. Bliss presents us with a detailed, well-paced, and engaging biography of Dr. Osler, from his childhood days in Canada to his final years at Oxford. Being both a student of medicine and a Baltimorean (currently), I took a special interest to the chapters devoted to his post as the first chief of medicine at the Johns Hopkins Hospital.

Unlike the time-honored work by Cushing, Bliss's book is no hagiography; it makes no false overtures about Dr. Osler's iconic grandeur, instead letting the reader discover for himself (or herself) that Dr. Osler was, in fact, as great a man as people say he was. (All that being said, I still value the two-volume Cushing biography, and there is no way I will rid myself of the precious first-edition set I snatched up last year at the Maryland Historical Society bookshop!)

One need not practice Oslerolatry (that is, the veritable worship of Dr. Osler expressed by many of the older faculty at Hopkins and elsewhere) to appreciate this book, though having an interest in medicine and/or medical history may help. Critics often lament that American doctors no longer have any professional integrity, and that taking the Hippocratic Oath is a sham. Read this book, and discover how great the American physician can be...and THEN lament that they don't make them like they used to.

Rating: 5
Summary: Absolutely delightful!
Comment: Any attempt to describe the life of such an illustrious personage, as one could imagine must be a rather daunting task. However, Michael Bliss's smooth-flowing rendering of Dr. William Osler's life is made not only manageable, but a sheer joy to read.

Of course this book will be compared with the innumerable number of other writings about William Osler, most notably of course the Cushing version. And Bliss clearly acknowledges the plethora of carefully collected documentations and personal correspondences that Cushing had accumulated in crafting his tale. However, I think this book stands on its own as a unique rendering of Osler mainly because of one simple fact. Bliss has had the luxury of time on his side to not just document the time and lives and the state of Medicine in the late 19th century, but most importantly, he relates it to the current, modern day state of affairs in those areas as well. He has woven a story that encompasses through the life of the great Osler, the tremendous influences of 19th medicine on modern day medicine. Even if one is not in the health-related professions or the biomedical sciences, one cannot miss the fact that this is a book as much about humanism as it is about medicine.

Biography, like history is riddled with biases, especially if it is about people and events that have revolutionazied mankind. This is particularly so in regards to William Osler, whose life and work have been immortalized, and a man who had acheived a legendary status even during his own life time. Bliss's work is as unbiased as it could possibly be given the already intrinsic biases about his subject. In this sense, this book is also unique from the previous biographies of Osler.

Overall, this is a most enjoyable read. This is definitely a "page-flipper" that takes you into the life, struggles, and triumps not only of Osler, but in a sense, of the entire human race.

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