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By
medicine life may be prolonged, yet death will seize the doctor too.
Quoting Shakespeare at his Presidential address at the Birmingham Dramatic
Club in 1881, James Fitzjames Fraser West, surgeon, was within two years
of his own death.
West, a Londoner by birth, trained at St Thomas Hospital. He settled
in Birmingham in 1854 at a time when surgery was being transformed. Anæsthesia,
after its inception in the mid-1840s, enabled surgeons to operate without
subjecting patients to the agonising ordeals of the past and was adopted
with enthusiasm by West and his colleagues. Listers antiseptic methods,
on the other hand, were greeted with hostility by many when they were
first communicated to professional colleagues in 1867. Those, like West,
who did embrace Listerism, had to convince their more sceptical counterparts
of its efficacy while they, in turn, sought to prove rigorous attention
to hygiene was equally effective.
James West kept a journal. The last and only surviving example has been
included in the biography. The diary contains a wealth of information
about his family, friends, colleagues and patients, as well as providing
an insight into Wests character. West was also an inveterate traveller
visiting - on occasions with his wife, a native of Great Houghton, near
Barnsley in Yorkshire - British and continental hospitals, medical schools
and health resorts. Wests career was not trouble free. In 1857/8,
he fought a long and bitter election dispute for the post of Honorary
Surgeon to Queens Hospital, Birmingham, but by the time he died
at the age of forty-nine, West was a well-respected, successful and wealthy
man. |