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BEXAR
HISTORY

Continued from page 19

March 19, 1840, there was an Indian raid on San Antonio and Dr.         dures for the first
Weidermann took an active part in the fight and killed two Indian
warriors. He approached a friend’s house to borrow a cart to take the   time in Texas. In
two bodies home. He explained that he needed actual skeletons to
continue his studies and research. That night at his home he stewed     addition to using
the bodies in a soap boiler, and when the flesh was completely sep-
arated he emptied the pot into the acequia. This stream furnished       ether and chloro-
the freshwater supply to the community for drinking, whereas the
San Antonio River was used primarily for washing and bathing.           form for the first
There was a city ordinance to the effect that the acequia should not
be contaminated under any circumstances and if violated would be        time, he was the
coupled with a heavy fine.
                                                                        first in America
  Dr. Weidermann now had his skeletons to study, but this was not
considered appropriate by the townspeople; they were horrified to       to resect the
learn of the event, believing that the water of the acequia had been
defiled by the doctor, and they were drinking particles of Indian in    tongue for cancer.
the fluid. In great indignation, a mob formed and had the doctor
arrested, and he was brought to trial. He assured the judge and jury    He performed
that the rapid-flowing acequia would have washed all the particles
during the night into the river and people were not drinking “Indian    the first resection
soup.” Convinced for the most part, the court let the doctor off with
a heavy fine, assuring him that if it were not for his previous good    of an ovarian
record he would have been run out of town at gunpoint!
                                                                        tumor in a child     Dr. George Cupples, first BCMS President in 1853.
  Dr. George Cupples was born in Scotland in 1815 and took his          age 6. He was the
medical training at the University of Paris. He was persuaded to
move to Texas after meeting Dr. Ashbel Smith, who was representing      first surgeon in Texas to employ the Freund’s procedure for removal
the Republic of Texas in the French court at that time. Dr. Cupples
arrived in the San Antonio area in 1846 and opened a practice in        of the uterus and ovaries, and he was the first to amputate an ex-
Castroville. He moved to San Antonio in 1850, at which time the
population of San Antonio was 1,000, of which 90 percent were of        tremity at the hip joint and also at a knee joint successfully. It is no-
Mexican descent. When he opened his practice, he was either the
second or third physician in San Antonio. During the Mexican war        table that these various procedures were performed without the
in 1846, he served as surgeon with the Texas Rangers. During the
Civil War, he served as a surgeon to the 7th Texas Cavalry.             benefit of a hospital being available. Also of note is that antiseptic

  Dr. Cupples helped to establish the Bexar Medical Society and was     surgery was not practiced in America until the end of the 19th cen-
its first president in 1853. He was also instrumental in establishing
the Texas State Medical Association at its organizational meeting in    tury. However, Dr. Cupples describes scrubbing and cleansing of the
1853 and he became its president in 1853. He returned to San An-
tonio after the Civil War to resume his surgical practice. This was a   operative sites during the above procedures.
time of notable advances and changes in medicine and surgery, and
Dr. Cupples participated in many of these events. He was the first      He helped establish a committee on surgery of the Texas Medical
surgeon in Texas to use a general anesthetic and this was in a case of
an amputation of a leg. He was noted for performing several proce-      Association in 1885. He was chairman of the six-man committee

                                                                        that sent out 6,000 questionnaires to the physicians of Texas asking

                                                                        for information on the surgeries that had been performed with ex-

                                                                        tensive detail and information about the patient and the procedure.

                                                                        Multiple aspects of the surgeries performed were requested and 138

                                                                        surgeons responded. Dr. Cupples’ summary, a 74-page report, covers

                                                                        4,293 operations, and the report was exhibited at the meeting of the

                                                                        Association in 1886. Included was the type of operation, mortality,

                                                                        anesthetics, vital statistics, and if antiseptics were employed and their

                                                                        effects and consequences. Most of the operations were not performed

                                                                        in hospitals but in the office, the patient’s home, or out in the open

                                                                        for better light. Chloroform was chosen over ether 35 to 1. Carbolic

                                                                        acid was practically the only antiseptic. Mortality was from 10 per-

                                                                        cent to 100 percent depending on the type of surgery. For all the

                                                                        major operations (2,080), the overall mortality was 16 percent. A re-

                                                                        view of the report was noted in the Journal of the AMA and in the

                                                                        British Medical Journal. It should be noted that in the report is the

                                                                        following quote by Dr. Cupples: “If the whole truth must be told,

                                                                        the writer of this report remembers to have read in the London

                                                                        Lancet some years ago, ‘What good (professionally, that is) can come

20 San Antonio Medicine • January 2016
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