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Dental Anesthesia

The Discovery and Controversy over the First Use of Surgical Anesthesi

Dennis Brindell Fradin wrote in "We Have Conquered Pain": The Discovery of Anesthesia, "We take it for granted that we can sleep through operations without feeling any pain. But until about 150 years ago, the operating room was a virtual torture chamber because surgeons had no way to prevent the pain caused by their healing knives." Fradin is right. Since several analyses of archaic human bones have proven that people have suffered from disease and pain since the beginning of their existence, one can only assume the tremendous pain humans had to endure before the discovery of anesthesia. The four brilliant men who ended mankind's suffering also had to endure immense anguish after the discovery; their involvement erupted into a maelstrom of controversy, which contributed to early deaths and insanity, even though the discovery of surgical anesthesia has had such a positive effect on humanity.1

Prior to the discovery, surgeons would tie, strap, or hold down their patients to keep them from running off during surgery. Many times, the surgeon would give alcohol or narcotics to patients in order for the patient to better face the indescribable pain. However, those


Using his powerful influences, Jackson convinced Edward Everett, the president of the American Academy of Arts and Sciences, to allow him to give a lecture to the academy explaining the controversy with Morton. Jackson's next step was to publish an article in the Boston Daily Advertiser about the ether discovery and the speech he was going to give to the academy. Jackson wanted to make it seem as though the American Academy of Arts and Sciences had already named Jackson as the discoverer of anesthesia. There was one problem, however. The newspaper article was set to print one day before the actual speech was to be given.35

If the definition of discoverer means the first person to use a new process, then Crawford Williamson Long deserves the credit. Horace Wells was unquestionably the first to make widespread use of anesthesia, and he paved the way for the Boston doctors to be more receptive toward the next demonstrator who came along. That man, William Morton, also deserves credit because he made anesthesia an accepted part of medicine. As for Charles Jackson, he destroyed his credibility by claiming the discovery exclusively, yet it is undeniable that his suggestion played a key role in Morton's success at the Massachusetts General Hospital.61 Even today no one is singled out as the discoverer of anesthesia. Many choose the side of Oliver Wendell Holmes, who coined the word anesthesia. Inscribed on the Ether Monument, which honored the discovery, in Boston's Public Garden are Holmes' words: "To e(i)ther."62

On the following day, Dr. George Hayward, who was also present on the previous day, performed another operation using ether. This operation was also a great success. On the same day, the people of Massachusetts also first read about the famous operation performed by Warren in the Boston Daily Journal and in the Boston Post.25

During the Civil War, Long and Morton offered their services by administering anesthesia to wounded soldiers. However, Charles Jackson's life was little disturbed by the Civil War. He spent the four years devoting more and more time to his anesthesia claims. Jackson published A Manual of Etherization, a book in which he credited the discovery solely to himself. He published most of his articles during the war while Morton and Long were busy on the battlefield saving soldiers.55

Wells was not discouraged, however. While in Boston, he asked permission from Dr. John Collins Warren, the surgeon at the Massachusetts General Hospital and the dean of the Harvard Medical School, to demonstrate his discovery. After a few days of lectures, Wells attempted to illustrate the effects of nitrous oxide on a patient whose tooth was to be extracted. Unfortunately, the gasbag was withdrawn too soon during the operation, and the patient began to shriek with pain. After the operation, the patient testified he did experience some pain, but "not as much as usually attends the operation," Wells wrote in a letter addressed to the editor of the Hartford Courant, December 9, 1846. However, the public mocked the demonstration as a complete failure. "Several expressed their opinion that it was a humbug affair," Wells wrote.17 Wells left Boston humiliated and disgraced, but still believing that surgical operations could be performed painlessly. Many other citizens in Hartford received the benefits of Wells' discovery and later gave sworn depositions that Wells had extracted teeth for them using nitrous oxide as an anesthetic.18

Crawford Long suffered from a stroke and died June 16, 1878, after he had just delivered a baby. Long's life was filled with love and joy, as much of his life revolved around his family and the welfare of others. Long, although not a world-famous figure or well known among the general public, was beloved in his hometown of Athens. His saying, "My profession is to me a ministry from God," was inscribed on his gravestone.59

At the close of the exhibition, Dr. Wells came to me, and said, "Wh

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Approximate Word count = 5275
Approximate Pages = 21 (250 words per page double spaced)


  

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