I loved this book! It jumps around a lot, from disease to deep sea diving, from surgery to sharks, but it's all interesting and the writing is good. Perhaps even better than good.
The book starts out in the 18th century with surgeon and inveterate (obsessed, arrogant, and at times highly unethical) cadaver collector, John Hunter.
The first chapter opens, "In the eighteenth century medical men were either cultured physicians well-versed in the theory of medicine, or surgeons, practical men with saws." Trevor Norton's writing continues to be terse and yet full of detail, with a lot of deadpan, well-timed humor.
The opening paragraph continues. "Both [physicians and surgeons] were steeped in ancient lore and received wisdom. Medical research was stagnant and patients were little better off than their great great grandparents had been. The along came a Scottish farmer's lad called John Hunter who changed surgery from a trade into a science."
Norton goes on to tell the story of Hunter's surgical escapades, which transitions nicely into the question of anesthesia and leads to many tales of experimentation with various gasses and chemicals, the first drug injections, blood-letting and infusions, fatalities and obstacles and startling leaps forward.
Attention turns to infections and parasites. Scientists who intentionally (or unintentionally, not considering the fact that someone with gonorrhea, for example, might also have syphilis) infected themselves with everything from syphilis to bladderworms, hookworms, fluke and malaria.
Norton's contextualization of self-experimentation is often as interesting, if not more interesting than the experiments themselves. We get a nice, if quick history of advances made in the discovery of cholera to bomb squads to shark investigation and deep sea exploration. We learn a bit about London, for example, of the 1800s when Norton turns the spotlight on Dr. John Snow, considered "the father of epidemiology", as he fights against superstition and other mythology that muddles the potential study of infectious disease.
Snow embarks on what is considered to be "the first ever epidemiological study." Instead of listening to the crackpot theories about what is making people sick, drew a map of 600 victims and "discovered that all those who caught cholera had drunk water from the Broad Street pump...Although he couldn't name the causal organism, Snow had no doubt that cholera was a waterborne disease originating from contaminated drinking water. It did not convince anyone..." In fact, people were offended that Snow would suggest they change their habits and, according to the London Times, preferred dying a horrible death to listening to some outsider upstart.
So, not only does the book jump through time and space weaving compelling tales of pioneering men (and I mean men. There are very few moments in this book that aren't about men). It also sheds lights on cultural, community and individual attitudes toward new ideas and technologies. And we see how discoveries, such as that avoiding contaminated drinking water will prevent cholera, and eating fresh fruit will prevent scurvy, are not always quick to be publicly heeded or acknowledged. A lot of people chose cholera over finding a new well to drink from. And it took more than a hundred years for ships to take precautions in order to help prevent sailors from getting scurvy. And some of the things we think we're discovering have been known for eons. Known and then forgotten. Or known in other cultural settings. Knowledge isn't something we gain necessarily, but has a maze-like, ebbing and flowing existence.
After a chapter on transfusions and gradual discovery of blood types, Norton starts a chapter on the heart and first heart surgeries. While in Chinese medicine people have probably been listening to pulses for millennia and seemed to have a better sense of the bodies systems, in the west to seemed to take until the nineteenth and twentieth centuries for scientists to begin to make sense of the circulatory and pulmonological systems. "The heart was many things," Norton writes. "Before it was known to be the body's engine for moving blood." Norton gives Werner Forssmann due credit though in his own time his risky experimentation with catheterization went largely un-noted.
This chapter on Forssman and hearts brings us to World War II, during which Forssman was a surgeon, and Norton uses this to shift the focus to bombs. He sets the scene by describing the immense bombing attack on London, the hours and hours civilians spent in shelters, if lucky enough to get there and back in one piece. He quotes one woman as responding, when asked where her husband is, "He's in the army, the bloody coward." In this chapter he talks about the dangerous and often fatal work of dismantling bombs and also a bit about bomb technologies. And the work some of the scientists do to understand the impact of bombs under water brings us to, well, water.
Sharks sharks and more sharks! The jaws of 1916. (Eek!) And divers and more divers. And a bit of flying, too.
This is by no means a perfect book or an exhaustive study of any of its subjects. But it's a great and entertaining overview of some of the risky and experimental work scientists have done to try to push into unknown medical and technological and other scientific territory. I found myself as I turned the last page, thinking of "The Violinist's Thumb" and the extraordinary nimbleness with which some science writers move from topic to topic and back and forth in time.