In 1892 I found the wife of a very dear Spanish friend dying from
an ailment which in the United States could have been promptly and
certainly remedied by a surgical operation. I begged him to take her
to Manila, telling him of the ease with which any fairly good surgeon
would relieve her, and promising to interest myself in her case on
my arrival there. To my utter amazement I found that there was not a
surgeon in the Philippine Islands who would venture to open the human
abdomen. The one man who had sometimes done this in Spain stated that
it would be impossible for him to undertake it in Manila, on account
of the lack of a suitable operating room, of instruments and of the
necessary anaesthetist and other professional assistants. In fact, at
the time of the American occupation there was not a modern operating
room, much less a modern hospital, in the Philippines. Thousands upon
thousands of people were perishing needlessly every year for the lack
of surgical intervention. A common procedure in dealing with wounds
was to cover them with poultices of chewed tobacco, ashes, and leaves.
In many provinces the people were without medical assistance of
any sort, and fell into the hands of native quacks who were little,
if at all, better than witch doctors.
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