: Samuel Reynolds House of Siam pioneer medical missionary 1847-1876 by Feltus George Haws - House Samuel Reynolds 1817-1899

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seemed to predominate. One class was the ulcers and running sores--many of them most aggravated. These usually were the result of long-neglected wounds. He writes of extracting bamboo splinters great and small that had become imbedded in the flesh and remained there to produce serious inflammation and infection. In such cases an ignorance too dense for intelligence to comprehend was the contributory cause of untold suffering. A second class of cases frequently appearing was that of fresh wounds resulting from drunken brawls, street fights, treachery and revenge, or self-mutilation. Scarcely a week passed but a patient was brought in with head cut open, face gashed, back lashed, or some other gaping cut. But most loathsome of all were the diseases which the doctor characterised as the result of vices--diseases which found victims among all sorts and conditions of men who "working that which is unseemly" received "in themselves that recompense of their errors which was meet."

A cursory review of one day's succession of patients will be suggestive. Here returns a man with a tumor on his ear, having the previous day been advised to come for an operation:

"With good courage and I believe without a trembling hand, I sat down to this, my first operation not only in the Kingdom of Siam, but the first operation I think I ever undertook. It was a simple one, and oh, I cannot but catch such a glimpse of my Father's loving-kindness in thus gently leading his poor ignorant by such simpler cases into the confidence in myself necessary to do the more serious cases which will doubtless fall to my lot.... Believing that without His blessing the simplest operation would fail and with it the most doubtful one might prosper, I lifted up my heart a moment to Him in whose name I had ventured to come among this people to try to do them good."

While attending him, a boat came up with two women, one a loathsome object full of sores and scabs--face, hands and limbs--the scars of former ulcers. A Chinaman with a scrofulous neck--a lad with gastric derangement--a boy whose leg was transfixed with a sharp piece of bamboo--so moves the procession. As he returns late for dinner he observes:

"This morning was fully occupied till dinner at 2 p. m., trying to do the works of mercy--how could I send any away empty! And oh, how happy I should have been in such Christ-like works had I but knowledge of the diseases, and judgment and skill. As it is now, the deciding what is to be done with each case is an act of the mind positively painful, because I am constantly fearing that I may not follow the best possible plan."

On another day thus reads the entry:

"On going down to the floating house at 9 a. m., found several new patients. A Chinaman of fifty, with caries of the lower jaw, skin of cheek adhering, pus has discharged from a large cavity within the mouth. Another Chinaman with syphilitic destruction of the bones of the nose--a hole left in the flattened face where pus was discharging.... He seemed to be in great torment--eaten of worms literally. Now a mother brings a naked child of five, having large ulcers and a lump on the thigh, the sequel of the smallpox had two or three months ago. A Chinaman brings the child of a friend; poor lad, the smallpox had destroyed one eye and blinded the other--so no hope, no remedy."

BUSY DAYS AND A BURDENED HEART

"When I awaked in the morning found two sets of servants waiting for me--one from Prince Chao Fah Noi, who had sent his boat for me to go up to his palace just as soon as I could finish my breakfast; another from Chao Arim, the King's brother, wishing me to come over and see some one in his palace very sick. My first duty of course was to attend to little George, whom I found still living, though much the same. This occupied the time before breakfast. After a hasty meal, stepped into the sampan sent for me --having dismissed the Prince's servants with a note requesting to be excused. On the other shore entered gates of the city wall.... While I was waiting for the Prince to be notified of my arrival, servants gathered around; examined my clothing, one wished me to take off my hat to see if my head was shaved, another admired my watch--the ticking pleased the children mightily. Some strong ammonia I had pleased them very much. A young man with a flaming long jacket of red silk came out; all servants squatted on the ground. This young Prince conducted me up a rude ladder to the bamboo dwelling of the sick man.

"Returning, invited to see the great man himself. The audience halls of these great men are after all rather well-adapted to the climate; immense rooms, lofty ceilings, furniture of matting, etc. Returning to my place, found a boatman from the Moorish Madras merchant's awaiting me. Accompanied the Hindoo, who had been sent for me, in his open boat with umbrella over my head; the sun, however, very hot, though this is our cold season. Some distance down the river landed at the Nackodah's commercial establishment, and found myself in the midst of quite a number of intelligent looking and polite Mahommedan Hindoo merchants and clerks, with their picturesque costume; the turban of twisted shawl and robes of thin white muslin, and sandals. Was received very courteously, conducted to a bamboo house nearby. The patient, a fine looking man, swarthy, with aquiline nose and mustache, lay on a mat bed behind a screen.... And now the voice of Dit, a servant of Chao Fah Noi, was heard; he had followed on after me, not finding me at home--the Prince being very desirous of seeing me. So I stepped into the handsome boat he had sent, and was soon at the palace. Here received with a smile of welcome.... Wished me to shew him how to make chlorine gas. Succeeded well. Gave him a piece of fluorspar and directions for etching glass. Left several jars of chlorine. His boat in readiness to take me back.... In the evening a call from Prince Ammaruk, in his priestly yellow robes, several priests with him."

All these interesting scenes and varieties of experience, however, did not lighten the burden of the heart. When a patient suffered pain and inflammation after an operation, he cries out:

"How can I go forward in a profession where I may inflict suffering. If it was only injury to property and not to life and health and senses! Alas, how hard a destiny, how could I choose this profession!"

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