FROM EMBRYO ENGINEER TO COUNTRY DOCTOR

drive the Gaar Scott thresher

Courtesy of Dale Nitzel, Photographer, 4051/2 East Douglas, Bloomington, Illinois.

Dale Nitzel

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Illinois Part II

Some of the crowd that gathered to see the Canton Monitor drive the Gaar Scott thresher in a hand feed demonstration at the Pontiac Reunion in 1951. Both engine and separator are over 70 years old. This is worth driving a long ways to see.

COUNTRY DOCTOR

After two years of private practice my wife and I decided to move to my boy-hood community where I would become a country doctor.

Again my admiration for our family friend, Dr. Edward F. Law, seemed to guide me, for I was to take over his office. Dr. Law had decided to retire. He and his wife and their son and daughter moved to their farm in a nearby community. His son. Or. Otis H. Law, has followed his father's profession, and is now one of the outstanding physicians and surgeons of Pontiac, Illinois. He, too. is my personal physician, intimate friend, and real pal.

My six years of peddling pills as a country doctor in the Weston, Illinois community were begun in those influenza times. I began to realize that I had been born '30 years too soon' for there was still to much horse and buggy practice. There were no improved roads, and certainly no pavements, just plenty of mud. During the winter months practically all trips were by horse and buggy or sleigh. In that winter of 1917-1918, three feet of snow covered the ground. Many days temperatures fell to 15 or 20 degrees below zero. Often we drove over hedges and fences covered with high drifts of snow.

Here was my re-introduction to my boyhood winters.

INFLUENZA EPIDEMIC

In the fall of 1918 the influenza really struck the country. World War I had taken so many physicians into service that communities often were nearly, or absolutely, without medical service.

This new epidemic taxed the few available physicians beyond safe endurance. It was not uncommon to drive ten or twelve miles to take a call, then be asked to stop at a nearby home and then the next and on and on until a doctor often extended his trip to include as many as 15 or 20 calls and his few hours to a whole day or more. Being young and wiry, I could endure the '25 hours a day' schedule. This meant irregular meals and only short snatches of sleep. The community soon learned of my low black coffee and every house hold kept a ready supply for me. Like wise my wife kept a warm meal awaiting me any hour I could be home.

This severe weather was followed by the real January thaws and rains which left the roads bottomless. Again I spent my days and nights on calls. This added to my wife's duties, too. She became office nurse, stenographer, and general manager. These duties included super vision of stable help to care for my six driving horses needed on those frequent long trips. Too, there were office and house furnaces to keep going.

In a radius of 20 miles and over a period of three months' time, I served a total of 500 flu patients, alone. The regular patients, the new babies, broken bones, in-grown toe nails, etc., became secondary to flu demands. Many of the flu patients developed pneumonia. Several became complicated with empyema. This usually demanded surgery. One particular night, Dr. J. Glen Young, a Pontiac, Illinois, physician, ray bosom friend and colleague, and I operated on three such cases. This meant removing a section of rib so as to drain out the offending0 pus. These operations were each performed in the patient's home, kitchen table surgery style.

At the height of this flu epidemic all public gatherings were stopped. Schools and churches were closed and even the United States Post Office often lacked enough personnel to keep open the usual hours. Nursing care was at a premium and hospitals were filled beyond capacity.

By March the epidemic had spent it self, leaving the patients low in vitality and slow in recovery.

Physicians, too, fell vicitms to the 'germs', so that we often were reciprocal in 'our services.

Mr. C. B. Killing of Coal Valley, III., and his 18 hp Gaar Scott built in 1918. This engine was exhibited at the Pontiac Reunion in 1951. There is something about a Gaar Scott just like a soldier that I like.

A LUCKY CRISIS

In helping out a nearby colleague, I had occasion to take over the care of a seriously ill baby, a child of foreign parents who still clung to their old country remedies. Their sure-cure for pneumonia was greasing the chest. That 'grease on the chest' was one of my pet 'not's', I had had all the grease on my hands that I wanted back in my embryo engineer days. That meant no grease to act as a sealing coat. When I explained the fallacy of chest-greasing, the mother remarked, 'But I have to do something!'

Noticing that she was preparing some bacon (pork side meat) for supper, I answered 'All right, put some of that fat bacon on the soles of baby's feet-Bind them up well and keep it on all night.'

Luckily the crisis of the illness came at midnight. With the consequent drop in body temperature, the baby was on its way to recovery!

Imagine my relief and satisfaction! The parents were deeply grateful. They told the neighbors of my prescribed 'cure', and I became the 'fat on the feet' hero-physician of that foreign community. Consider, too, the razzing I got from my good friend and colleauge when he again took over the family's care. Furthermore, he carried his good joke to the medical meetings and gave the physicians a hearty laugh at my expense. Such is the life of a country doctor!

The flu germ gradually lost its virulency, and after two years of uneventful practice, my wife and I began hoping for a more normal living schedule.

Here is a good picture of the up and down type Saw Mill. This mill was established during or right after the Civil War. Water was the source of power and the saw a blade operated by a pitman. A thousand feet of lumber was considered a good day's work. Later when the water dwindled a stationary engine supplied the power. By 1920 the old mill sagged at all the corners and in the middle and was so badly worn that it refused to do any more work; so the owner engaged my father to saw what logs remained there. The old mill final by crumbled to ruins. It seems sad to think that no one thought of preserving the old historical landmark to honor these pioneers who did so much to develop this part of Wisconsin. Clarence Mirk, 2362 N. 85 St., Milwaukee 10, Wis.

WE MOVE TO CORNELL

The opportunity for better living came, we thought, when I entered partnership with a physician in Cornell, a small town amid a good surrounding practice. This arrangement is one of which every physician dreams, as it affords some time off-call, yet leaves his patients in the care of a known partner.

However, this arrangement was short lived. At the end of two years the partner-physician moved to California to cape the severe Illinois winters. This once again left me on 24-hour call in practically the same driving- conditions as I had experienced during the fin epidemics of the 1918-1919 years-. The Cornell roads were really bottomless, and the mud more clogging to the wheels of my Model T Ford., However, with the coming of the hard roads and some gravel surfacing of side roads, trans portation troubles did lessen by the late 20's.

SERIOUS CASES

Several high points in medical experiences during the next few years stand out in my recollection. A polio epidemic broke out and within one square mile I had seven cases, all of whom respond ed positively to the new diathermy treatment.

One winter I had five cases of pneumonia in one household. While I made at least two visits daily there for several weeks, I felt that they recovered in spite of me, According to the rules on pneumonia patients, none warranted hope of recovery.

Another real issue I met was a severe case of Vincent's Angina, (trench mouth) in a 7 year old boy. His badly diseased throat fairly sloughed its whole lining. The offensive odor could be detected more than sixty feet from the house. This was such an extraordinary case that a number of physicians from surrounding towns came to see the patient. Again, even against the odds, the patient re covered.

Kitchen table surgery popped up several times again. One case in particular was that of a 75 year old woman who became seriously ill in a gall bladder attack. With the aid of nearby doctor, the operation was performed success fully kitchen table surgery style. Illinois mud roads being bottomless at that time, it was impossible to move the patient to the hospital 12 miles away. The attending physicians came via hand car on the town's one railroad.

A big part of every country doctor's practice is that, of obstetric cases. Thinking back over the years, I recall that I delivered 2200 babies. It is satisfying to know that I never lost a mother, and better yet I never lost a father! About 99% of these babies were delivered in the home.

(To be continued)