Excerpt from Lectures on Surgical Pathology and Theapeutics, Vol. 1: A Handbook for Students and Practitioners
Gentlemen. - The study of surgery, which you commence with these lectures, is in most countries at present rightly regarded as a necessity for the medical practitioner. We consider it a sign of progress that there is no longer the same separation of surgery from medicine as was formerly the case. There is in fact only an apparent distinction between internal medicine and surgery, the separation is artificial, although founded on history and on the great and ever increasing extent of medicine generally. You will often notice in the course of these lectures how very much surgery has to take into consideration the internal and general processes in the body, also that external and internal affections are in all respects analogous, and that the whole difference is in the fact that in Surgery the local alterations of tissue are mostly patent, whilst we only judge of the local affections of internal organs from the functional disturbances. The effects of local disturbances on the condition of the system in general, must he as accurately understood by the surgeon as by one whose attention is principally occupied with diseases of the infernal organs. In short the surgeon must be a physician also in order to form a correct and safe judgment as to the condition of his patient.
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