, "It is not uncommon for the greater number of cases to
occur in the practice of one man, whilst the other practitioners of the
neighborhood, who are not more skilful or more busy, meet with few
or none. A practitioner opened the body of a woman who had died of
puerperal fever, and continued to wear the same clothes. A lady whom he
delivered a few days afterwards was attacked with and died of a similar
disease; two more of his lying-in patients, in rapid succession, met
with the same fate; struck by the thought, that he might have carried
contagion in his clothes, he instantly changed them, and 'met with no
more cases of the kind.' A woman in the country, who was employed as
washerwoman and nurse, washed the linen of one who had died of puerperal
fever; the next lying-in patient she nursed died of the same disease;
a third nursed by her met with the same fate, till the neighborhood,
getting afraid of her, ceased to employ her."
In the winter of the year 1824, "Several instances occurred of its
prevalence among the patients of particular practitioners, whilst others
who were equally busy met with few or none. One instance of this
kind was very remarkable. A general practitioner, in large midwifery
practice, lost so many patients from puerperal fever, that he determined
to deliver no more for some time, but that his partner should attend in
his place. This plan was pursued for one month, during which not a case
of the disease occurred in their practice. The elder practitioner, being
then sufficiently recovered, returned to his practice, but the first
patient he attended was attacked by the disease and died. A physician,
who met him in consultation soon afterwards, about a case of a different
kind, and who knew nothing of his misfortune, asked him whether
puerperal fever was at all prevalent in his neighborhood, on which he
burst into tears, and related the above circumstances.
"Among the cases which I saw this season in consultation, four occurred
in one month in the practice of one medical man, and all of them
terminated fatally." [Lond. Med. Gaz. May 2, 1835.]
Dr. Ramsbotham asserted, in a Lecture at the London Hospital, that
he had known the disease spread through a particular district, or be
confined to the practice of a particular person, almost every patient
being attacked with it, while others had not a single case. It seemed
capable, he thought, of conveyance, not only by common modes; but
through the dress
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