The Butchering Art: Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine

Winner, PEN/E.O. Wilson Prize for Literary Science Writing
Named a Best History Book of the year, The Guardian
"Warning: She spares no detail!" —Erik Larson, bestselling author of Dead Wake
In The Butchering Art, the historian Lindsey Fitzharris reveals the shocking world of nineteenth-century surgery and shows how it was transformed by advances made in germ theory and antiseptics between 1860 and 1875. She conjures up early operating theaters—no place for the squeamish—and surgeons, who, working before anesthesia, were lauded for their speed and brute strength. These pioneers knew that the aftermath of surgery was often more dangerous than patients’ afflictions, and they were baffled by the persistent infections that kept mortality rates stubbornly high. At a time when surgery couldn’t have been more hazardous, an unlikely figure stepped forward: a young, melancholy Quaker surgeon named Joseph Lister, who would solve the riddle and change the course of history.
Fitzharris dramatically reconstructs Lister’s career path to his audacious claim that germs were the source of all infection and could be countered by a sterilizing agent applied to wounds. She introduces us to Lister’s contemporaries—some of them brilliant, some outright criminal—and leads us through the grimy schools and squalid hospitals where they learned their art, the dead houses where they studied, and the cemeteries they ransacked for cadavers.
Eerie and illuminating, The Butchering Art celebrates the triumph of a visionary surgeon whose quest to unite science and medicine delivered us into the modern world.
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Community Reviews
I was not prepared for this book - a strong stomach, STRONG STOMACH, is a must. I understand that we've come a long, long way in the world of medicine, but I don't think I truly grasped the extent of that statement until now. There are visuals in this novel, one in particular, that will stay with me for the rest of my life. If you've never given thought to how privileged you are to live in today's modern medicinal era, stop and do that now. I, for one, am eternally grateful for the pioneers that have brought us to the profound healing of today's time. Surgery. Medication. Treatment. The whole "she-bang."
The Butchering Art relays the story of Joseph Lister's quest to banish post-operative surgery infection, and ultimately death as a result. He is unusual for a surgeon as he believes throughout his journey that the microscope will reveal what he needs to understand. His peers are often dismissive of his obsession with viewing small sections under the tedious trained eye, yet in the end - it is this trained perception that grants Lister's understanding of what we now know as germs. Seriously - there was a time when this word did not exist, and not only did it not exist, it was believed that the microscopic ailments that are the root of ALL communicable and contact diseases and infections were a farce. The reining concept of the day was miasma, and/or that something existed within the body causing the hideous and grotesque infections and death, not outside the body. Lister met with significant resistance to his work, but thankfully, he persevered.
In a time where a skilled surgeon could amputate a leg at the thigh and tie off arteries to stop blood loss in less than two-minutes, and one could entirely survive this without anesthesia, is amazing in and of itself. And yet - the death toll was insurmountable in post-op recovery. It wasn't the surgery, or the pain, or even the initial day of recovery that the human body couldn't survive, it was the infection that set in twenty-four hours after. Joseph Lister spearheaded a way to stop this, and The Butchering Art tells this story.
The book is part horror story, part hero story - I don't suggest reading this one with a snack.
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