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A mesmerizing biography of the brilliant and eccentric medical innovator who revolutionized American surgery and founded the country's most famous museum of medical oddities. Imagine undergoing an operation without anesthesia performed by a surgeon who refuses to sterilize his tools-or even wash his hands. This was the world of medicine when Thomas Dent Mütter began his trailblazing career as a plastic surgeon in Philadelphia during the middle of the nineteenth century. Although he died at just forty-eight, Mütter was an audacious medical innovator who pioneered the use of ether as anesthesia, the sterilization of surgical tools, and a compassion-based vision for helping the severely deformed, which clashed spectacularly with the sentiments of his time. Brilliant, outspoken, and brazenly handsome, Mütter was flamboyant in every aspect of his life. He wore pink silk suits to perform surgery, added an umlaut to his last name just because he could, and amassed an immense collection of medical oddities that would later form the basis of Philadelphia's Mütter Museum. Award-winning writer Cristin O'Keefe Aptowicz vividly chronicles how Mütter's efforts helped establish Philadelphia as a global mecca for medical innovation-despite intense resistance from his numerous rivals. (Foremost among them : Charles D. Meigs, an influential obstetrician who loathed Mütter's "overly" modern medical opinions.) In the narrative spirit of The Devil in the White City, Dr. Mütter's Marvels interweaves an eye-opening portrait of nineteenth-century medicine with the riveting biography of a man once described as the "P.T. Barnum of the surgery room."--Provided by publisher.… (more)
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Thomas Dent Mutter (1811-1859) was born to a mother from an established Virginia family and a father who was a hard working first generation Scottish immigrant. Although the Mutters were happy and modestly successful at the time of Thom's birth the family of four was quickly struck down by illness, and by 1818 he was an orphan with no surviving close relatives. Fortune did shine on young Thomas, as he was soon adopted by Robert Wormelely Carter, a wealthy Virginia landowner who was a distant cousin of his mother. Carter supported Thomas's educational endeavors, and after he realized that medicine was his calling he graduated from the medical school at the University of Pennsylvania at the age of 20.
After graduation Mutter (who changed his name to Mütter, in keeping with his flamboyant lifestyle and dress) sailed to Paris, where he learned the latest surgical techniques under the leading practitioners there, including the legendary Guillaume Dupuytren. He returned to Philadelphia, but he was unable to establish a successful practice as a general surgeon despite his clinical skill and growing reputation in the city's medical community. Mütter began teaching at the Medical Institute in Philadelphia, and soon afterward he joined the faculty at the Jefferson Medical College, Philadelphia's second medical college after the University of Pennsylvania School of Medicine. There he quickly became a revered instructor who was noted for his active engagement of his students during his lectures, along with his skill in the operating theater and the compassion he showed to his patients before and especially during surgery, at a time when anesthesia was limited to wine and other spirits.
Mütter was closely linked to several advancements and innovations in 19th century surgery and medicine, including the use of a patient's own skin to form surgical grafts; the utilization of ether as an effective anesthetic agent during surgery; the adoption of antiseptic techniques to reduce the likelihood of postoperative infections and puerperal (childbed) fever; and the creation of postoperative hospital wards, where patients would be closely and compassionately cared for under his watchful eye.
Sadly, Mütter suffered from ill health throughout his life, which curtailed his brilliant career as a surgeon and teacher. Fortunately he ensured his legacy with the creation of the Mütter Museum, which opened in 1863 and moved to its current location on 22nd Street between Market and Chestnut Streets in Center City Philadelphia in 1909. The museum is open to the general public seven days per week.
Aptowicz does a superb job in her portrayal of Mütter, as her interest in and enthusiasm for the surgeon shines on every page. The book is written for a general audience, and it is filled with rich detail about the history of early and mid 19th century medicine, medical education and surgery. Dr. Mütter's Marvels is a captivating study of one of the most interesting and influential physicians in American history, and I cannot recommend this book highly enough.
I had never really heard of Dr. Mutter, except for the
The story is also about those around him, including Charles Meigs (one of the most famous obstetricians at the time), who was one of Mutter's main foes against the use of anesthesia, as well as how life in the 19th century affected how medicine was taught and practiced. Disease, overcrowding in the cities and working conditions being chief among them.
No spoilers here, cause its on the back of the book, but Mutter died very young at 48 (ironically, for me, I just turned 48 this week) due to chronic ill health. He was just hitting his stride and I wonder what more he could have accomplished if he had lived. I think its telling that a lot of the "characters" in the book have wikipedia pages, but Mutter does not. Except for the museum, he doesn't seem to be well known in modern times. This book might help remedy this for some. A fascinating book about a fascinating man.
Some interesting passages that struck me when I was reading:
"I think anesthesia is of the devil," William Atkinson, the first president of the American Dental Association said, "and I cannot give my sanction to any Satanic influence which deprives a man of the capacity to recognize law! I wish there were no such thing as anesthesia! I do not think men should be prevented from passing through what God intended them to endure!" (yikes, and I hate going to the dentist in the 21st Century)
(As Mutter began to recognize his mortality...) "Before, Mutter had felt it was his role to lead by example, to show his students the heights they should strive to reach, even though their own talents and abilities would likely never match his own. But now, Mutter realized his task was to create doctors who could replace him."
S: 8/9/14 F: 8/17/14 (9 Days)
It's not that Mutter didn't have pride, but that his confidence was in the future of medicine and his own work ethic rather than the misguided orthodoxy that had passed for medicine for so long. He understood the stakes his patients faced and that successful treatment was about them, and not the authority or status of himself or his profession. Aptowicz tells the story of a compassionate, forward-thinking surgeon fighting the good fight for his patients and medicine at large in an era rife with suffering. And it's not for the faint-hearted. There was no such thing as anesthetic until halfway through his career. As a rule patients had to be held down to keep them from leaping up midway through a surgery and running away screaming. And even that wasn't always enough to prevent a patient from escaping. It was just hard for most people to find the cure preferrable to the disease when the knife started its work.
Under such conditions it's not hard to imagine how surgons earned the epitaph "saw bones". It was a grimm business that demanded a swift hand and an unshakable contenence. What set Mütter apart was how closely he allied himself with his patient before, during and after his surgeries. You see, Mütter's field of choice was cosmetic surgery, and cosmetic surgery was a whole other beast in the 19th century. Mütter helped person's suffering disfigurement so drastic they were unable to live normal lives. People that at the time were still commonly identified as monsters. These people knew the consequences of their conditions and this knowledge gave them the courage and determination to suffer through the pain and danger of a 19th century surgery. Working together with his patients Mütter spent time leading up to the surgery walking his patients through what would happen to prepare them mentally and massaging the appropriate areas to help them become acclimated to his touch. The level of investment Mütter put into his patients would be admirable in any age, but it is especially touching knowing that he still had to cut like any other surgeon and he wasn't depersonalizing the situation and desensitizing himself to its brutality.
There's alot here to praise, both in the writing and its subject. Honestly, Mütter comes off like a goddamn hero, and you might be surprised how often that doesn't happen in medical history. And yet, this is the book that brought me closer to fainting than any book ever has. It probably wouldn't have happened if I wasn't reading while standing in line at an under-air-conditioned DMV, but in any case, if I ever start an Industrial Revolution themed metal band I'm calling it Phossy Jaw.
In the early-mid 1800's surgery was
A child of means whose parents died, Mutter became a ward of a relative. A self made man, he set out to learn as much as he could regarding the field of medicine. At that time, Paris France was the place to learn. He was enthralled by the beauty of Paris and the incredible resources available.
Returning the the United States, he attempted to open a practice. Unsuccessful in his endeavors, he slowly began to become known for his patience, ingenuity and brilliant intellect. Becoming a part of the Jefferson Medical college, he thrived in his expertise in a relatively small field of plastic surgery.
He was drawn to worse-case scenarios, and soon people who were grossly deformed came to him pleading for a "normal" life. Called "monsters", they were willing to undergo radical transformations while Mutter deftly cut away layers of scar tissue, replacing the area with what became known as the Mutter flap. He was the first to realize that grafting skin from the patient would yield the best outcome.
Historically, he practiced at a time when death was, as the author notes, an "easy place to die." Yellow Fever, TB, and scarlet fever were rampant.
As the two existing hospitals vied for prestige, The University of Pennsylvania School of Medicine became the first and only medical school in the 13 American colonies now had competition of Jefferson Medical college. And, it was Thomas Mutter who was one of the shining stars that certainly assisted Jefferson to pave the way to new and improved modes of surgery and teaching.
At the end of his life, his legacy was astounding. He was respected by his peers and well loved by all pupils. He was the master of plastic surgery and helped hundreds to live a better life, free of the emotional and physical pain of severe deformities. He insisted on cleanliness in the operating room at a time time others did not connect the fact that lack of clean surgical areas lead to deaths. Personable and caring, he was one of the few doctors who insisted on knowing his patients before surgery, treating them with respect while explaining in detail what the patient would undergo in order to be free of their affliction.
He was the first to realize that a surgical patient needed to stay in a hospital setting to be closely monitored after surgery. Thus, he assisted in the need for Jefferson to build a facility to accommodate patients after surgery. He was the first in Philadelphia's hospitals to perform surgery with ether.
Instilling his knowledge to thousands of pupils during his tenure, his legacy lived on through many notable surgeons. Sadly, he died at the early age of 47. His last mandate was to ensure that his vast collection of specimens, wax moldings of the deformed, and a large volume of written text be housed in the College of Physicians of Philadelphia.
This is a fascinating book, filled with descriptions of early medicine and the advancements made at the hand of a few, with Mutter leading the way to a safer, kinder and more successful surgical mode of operation.
I knew nothing of Mutter, before reading this book and thoroughly enjoyed this excellent biography on a fascinating American physician. The writing is smart and swift. A perfect example of narrative nonfiction.
"A dazzling, young American surgeon who was so flamboyant and audacious that he wore colorful silk suits to perform surgery, embellished his last name with an umlaut, and was described as the 'PT Barnum of the surgery room.'"
Okay, yes he was a
In addition, this was a historically fascinating time in Philadelphia. Societal hierarchies, women's rights or the lack thereof, class struggles, racism, the differences between America and Europe. Aptowicz writes with wit and clarity, working in so many details and truths without in the least bogging down the story. It is fun, engaging, and charming. I loved this book! Anyone interested in medicine and/or history will enjoy this read.
Obviously, this work is a complete biography of Thomas Dent Mütter
The writing is clear, clean, and a pleasure to read. Unlike the case in less- competent biographies, the author [Cristin O’Keefe Aptowicz] does not interject herself into the narrative, but focuses on Dr. Mütter's and his contributions to the development of 19th century medicine. I was fortunate to receive this book from LibraryThing’s Early Reviewer program in exchange for a review. I highly recommend this book.
The title is misleading. This is not at all about Mutter's curious collection but rather the story of his career and discussion about his considerable influence on
[Dr. Mutter’s Marvels] is an engaging and informative account of the man’s life and career, and a fascinating look into the practice and politics of medicine in mid-19th-century Philadelphia. Author Christin O’Keefe Aptowicz skillfully portrays how Mutter helped to change the medical field forever amidst professional infighting which threatened to stall progress. She also looks at how, in his final days, Mutter made sure his personal collection of medical oddities and teaching tools would live on beyond him, through the establishment of Philadelphia’s Mutter Museum, administered by the Philadelphia College of Physicians.
This was a carefully researched and well-written book, one that I found utterly fascinating.
Having visited the museum, I was excited to learn more about a man whose collection was the beginning of such a strangely fascinating museum.
Aptowicz's biography is a solid one, painting a clear picture of an innovative surgeon who made it his life mission to help those deemed "monsters," and to teach compassion to a new generation of doctors. In an era where knowledge of infectious disease was sparse and surgeries were often performed under extreme circumstances, Mutter pushed for better hygiene amongst surgeons as well as promoted techniques such as ether in order to ease a patient's suffering. He also strove to make his students realize that their patients were humans, not just cases on the operating table. These patients deserved respect, compassion, and the awareness of what was about to happen.
The biography was easy to read, though in my opinion a bit jumbled. I hope that is possibly just the fault of the early reviewer copy I received, but it made some of the content appear out of place or misplaced in the time frame. For example, Aptowicz in one chapter discusses some of the famous students Mutter taught. I think it would flow better if these students had been introduced throughout the book rather than one long chapter listing their various accomplishments.
Also a bit disjointed was the depiction of Charles Meigs, the man the author uses as a foil against Mutter. We as readers are suppose to see how forward Mutter was in his thoughts when compared against Meigs, a fellow professor and doctor. While I get the purpose of the comparison, I feel like it was somewhat unnecessary. Mutter's genius is capable of standing on its own and doesn't need the foil of Meigs to showcase it.
That said, the book is worth a look if you are curious about the man behind the museum or about the history of medicine. I give it a solid three stars and would recommend it to a select group of people.
The writing and references in the book are fantastic. Much of the history I had never heard of before. I enjoyed it so much that I promptly bought a hardback copy for myself and a few for some friends, who really loved it as well. I can't recommend this book enough!
lthough well-known in his time, I
I'm not sure I would characterize this story as one of "intrigue," but "innovation" definitely! And though mentioned briefly at the beginning, the "Marvels" of the title aren't really discussed until the end, but I enjoyed Aptowicz's narrative in her acknowledgements as she described how she learned about Mütter and his marvels. Now I think I'd like to see them, too--and that's how you know you've found a really good author. I'm looking forward to more, Ms Aptowicz!
Cristin O'Keefe Aptowicz spent a lot of time and effort researching this early American surgeon; it shows in the carefully constructed writing, the prolific end notes, and the easy flow of narrative.
This is an excellent
This is not a topic I have read a great deal about, but Aptowicz makes it utterly enthralling. Mutter led a short, but inspirational life. Aptowicz weaves together personal tidbits (Mutter was a bit of a dandy who indebted himself for stylish clothes and shoes even as a child) with background information on 19th century medicine, his colleagues, and his influence on modern medical procedures.
In addition to being thoroughly researched, well written, and entertaining Dr. Mutter's Marvels also includes a wonderful layout including pictures, quotes, and generally appears professional yet engaging.
Dr. Thomas Dent Mutter was an amazing man. He became a doctor while young (there wasn’t as much schooling required in that era to become a doctor), studying in France where surgical techniques were far advanced from those in the US. He not only became a remarkable surgeon- he was ambidextrous- but he brought to America the practice of actually washing his hands and tools in between patients and was an early adopter of the use of anesthesia for operations. He performed a lot of reconstructive surgeries on victims of fires and accidents. He convinced the medical college to purchase some rooms that could be used for patient recovery- previously patients were put out in a cart and taken home as soon as the surgery was over. He thought of patients as actual people instead of just the operation performed on them. He instituted a lot of things we take for granted in hospitals today. Sadly, he died young.
The author has consulted many primary sources for this biography. Descriptions of the surgeries Mutter performed are taken from his own writings. It’s not just a biography of Mutter, but in many ways a biography of surgical practices in America. Very interesting and a fast read.
Thomas Dent Mütter was orphaned as a young boy. Despite suffering from illness all his life, the young Mütter went on to pursue a degree in medicine. Eventually, his curiosity led him to the practice of plastic surgery, where he dedicated his skills to helping people labeled as "monsters" by society. Mütter's ideas and surgical techniques proved to be innovative, but his flamboyant style and popularity with students sometimes clashed with other doctors. Mütter's forward thinking lead to advances in cleanliness in the operating room, the use of anesthetic, and compassionate care.
Throughout his career, Dr. Mütter collected all types of specimens. While some may view these collections as medical oddities, Dr. Thomas Dent Mütter collected the items with the intent of supplementing his medical lectures. Due to continuing ill health, Dr. Mütter died young, but before he did, he left behind the legacy that is now the Mütter Museum.
The Bottom Line: Despite the length of the book, this was a fairly quick read. Author Cristin O'Keefe Aptowicz approaches her subject with enthusiasm and compassion. Dr. Mütter was a fascinating man. He was a pioneer in his field who made many lasting contributions to the field of medicine. I especially enjoyed reading the notes written by Dr. Mütter. This well-written biography is highly recommended for readers interested in medicine, surgery, medical collections, and American history. A background in medicine is not required to understand and enjoy this book; however, descriptions of surgical procedures may bother some readers. This book contains more than 80 black and white photos and illustrations.