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William Osler: A Life in Medicine


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    William Osler, who was a brilliant, innovative teacher and a scholar of the natural history of disease, revolutionized the art of practicing medicine at the bedside of his patients. He was idolized by two generations of medical students and practitioners for whom he came to personify the ideal doctor. But much more than a physician, Osler was a fiercely intelligent humanist.
    In both his writings and his personal life--and through the prism of the tragedy of the Great War--he embodied the art of living. Indeed, this is a book not only about the evolution of modern medicine, the training of doctors, holism in medical thought, and the doctor-patient relationship, but also about humanism, Victorianism, the Great War, and much else. Meticulously researched and accessibly written, William Osler: A Life in Medicine brings to life both a fascinating man and the formative age of twentieth-century medicine.



    William Osler: A Life in Medicine2007-11-215 / 5
    I purchased 5 of these books as a "Thank you" to 5 excellent physicians who supported me as an oncology nurse practitioner. Since I was retiring, I wanted to say "Thank you" and each physician was thrilled to receive a copy.
    A Biography for all Doctors to Read2007-09-055 / 5
    This is one of the most absorbing and readable biographies of Sir William Osler. Michael Bliss' book is considerably shorter and easier to read than the monumental Pulitzer Prize winning book by Harvey Cushing, Life of Sir William Osler.
    As a retired general practitioner, Sir Willam's life and example is particularly close to what I have been practicing for the past forty years. When one reads this account one can begin to fathom this great man's ability, perception of human suffering, natural curiosity and dedication to the patient's welfare. This book reveals to us some of his other unique abilities and qualities namely his bibliophilia,vast reading, writing close to 170 papers, teaching scores of students, and having the honor of holding responsible and prestigious positions in the fields of medicine and the humanities. In addition to all these were his literally developing Johns Hopkins Hospital and University into the best in the world in his time and marshalled the achievements of hospitals in Philadelphia, Montreal and Toronto. As Regius Professor at Oxford from 1915 to 1919 he was a towering giant . He therefore stands in my eyes as the greatest doctor of the 19th.,20th. and perhaps the 21st. centuries. Not Sydenham, not Hunter, not even Lister could do all that Osler managed to do and do so with so much energy, dedication and humility.
    We doctors who were not with him on hospital rounds, clinical demonstrations,lectures, lunches, teas and dinners and amazing conversations with him are very envious of those who were blessed with these opportunities.
    He set a living example to his protege the way a doctor should live and work to earn that mark of nobility that the profession has had for centuries. He was the healer of all healers and inspired many to literally follow his foot steps. To mention two such would be too few but the likes of Harvey Cushing and Wilder Penfield come to mind and they both became superb neurosurgeons even though their hero, Osler , was an internist. I was astounded to read the great numbers of international luminaries who were treated by him. He ministered to doctors and their families, medical students and staff and was thus a doctor's doctor both as a teacher and physician.
    His love of little children, the youth, the aged and his own extended family was exemplary to say the least.
    How sad that such a doctor left the world at a mere 70 years of age. Three great nations, Canada, the U.S. and Britain all claim him as their own son. That honor and adulation no one and no doctor has the distinction of achieving. He served all of them so well.
    We all stand in awe of this stalwart of modern medicine and Michael Bliss has opened our eyes to this individual so well.
    A Brilliant Biography of a Brilliant Doctor2006-04-305 / 5
    Despite almost a century since his death, William Osler persists as the `the grand old man of medicine', a life devoted to doctoring and doctors, who has supplied inspiration for many generations of physicians in the United States, Canada, Britain and the Continent.

    Osler's life was a remarkable achievement as a medical teacher, (important in America in giving medical students real medical experience, as clinical clerks in hospitals) physician, prolific author, councillor, researcher and mentor to literarily thousands of men and women embarking on the profession in the medicos. It was the philosopher and great teacher, William James, who commented to Osler, marvelling and his energy and interests. Osler replied, that he was terribly conscious of time that it was a commodity he wished he could buy more of, as there was so much he could do with it. (p. 502) Osler's zest for work and unbounding passion for medicine set the standard for medical women and men in the twentieth century.

    After reading Michael Bliss's brilliant biography of the pioneering neurosurgeon, Harvey Cushing, another remarkable medical man, and Osler's first biographer, it seemed only natural to read about Cushing's mentor. Both biographies are first rate and it really would be a disservice to compare them, because both works are thorough, educational, inspiring and definitive contributions to the greats of medical history.

    Osler is the author of the currently classic text, The Principles and Practice of Medicine, which became the core textbook for students and practicing physicians during his life. It became a yearly task for the doctor to revise later editions, (sixteen in all) and in present time, for modern doctors, according to Bliss, has now become patient-centred and a historical document of the state of 19th century medicine.

    Osler is famous for his bedside manner, the notion of empowering patients and autonomy in clinical practice. The man's faith in medicine and the legendary "aura" of healing that surrounded him, causing patients to regain the faith in their own healing ability, has caused a renewed interest in humanities joining forces with science, a proper balance, ensuring an optimal treatment and outcome for the patient.

    How did the man accomplish so much in one lifetime? Similar to the 18th century philosopher, Immanuel Kant, people close to him could adjust their clocks to the second by the philosopher's movements. Osler was the same: his day was usually planned down to the minute, rising at seven and retiring by ten-thirty everyday.

    He was also a man born with writing disease, never a day would go by without putting pen to paper, as his articles, correspondence, speeches and books certainly reveal. A consummate bibliophile, his collection of medical texts and related subjects, at the end of his life reached eight thousand, taking many years to catalogue, ending up being donated, as was his wish, to McGill University.

    An excellent biography of an extraordinary man of medicine.


    A Real Eminent Victorian2004-02-225 / 5
    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.

    the good doctor2002-09-185 / 5
    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.


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