Customer Reviews

William Osler: A Life in Medicine

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I was not an unbiased reader when I picked this up -a graduating medical student about to begin a medical residency. There is a minimum of technical medicine in this biography -it reads more like a novel, filled with Osler's own writing. Bliss poured through his technical papers, his speaches, letters and medical jokes (published under the pseudoname Eagerton Y Davis) and gives us a taste of what an incredible man he must have been. Full of energy, a mind constantly at work, yet a tender-hearted soul who was a pioneer in the art of medicine, of making the doctor-patient relationship warm and empathetic in an era when this was unpopular. Bliss reveals that this is a person we should remember and who's example we all should take to heart: diligent work, a positive attitude, and concern for humanity made manifest each day in one's daily living. Read this book!

Though I've never personally had much of an interest in the history of medicine, I found this book very enjoyable and inspirational. I think all physicians will similarly feel inspired, as Osler was a shining example of what good bedside manner can accomplish in an age where medicine was relatively impotent, and beyond that, he was also a shining example of a brilliant, decent and caring human being. A wonderful book, beautifully written...I couldn't put it down, and I hope you will have the same trouble! Paul Dash MD
Addendum: 2-23-06 Neurology Grand Rounds at Johns Hopkins featured a lecture on Osler as a neurologist. Osler, of course, was a guiding light at Hopkins for many years. The speaker, Dr. Gregory Bergery, an epileptologist with a passion for the history of neurology, specifically mentioned the Bliss biography and highly praised it as the best available. The lecture itself concerned Osler's many contributions to neurology which are underappreciated; e.g. for many years he wrote the neuro sections in his famous text Principles of Medicine prior to turning it over to Cushing, and was the first to use the term cerebral palsy in a monograph he published on the subject. The lecture again renewed a sense of awe over what an incredible person Osler was.

As a Canadian trained physician now transplanted to the US, I found the story of Osler inspirational and stirring.It may have helped that I had been to many of the locations in the book making it seem much more 'alive'. The style of writing was easy to follow, yet there was an obvious scholarly detail and depth. It has encouraged me to read more on the history of medicine. Quite engrossing.

Any attempt to describe the life of such an illustrious personage, as one could imagine must be a rather daunting task. However, Michael Bliss's smooth-flowing rendering of Dr. William Osler's life is made not only manageable, but a sheer joy to read.

Of course this book will be compared with the innumerable number of other writings about William Osler, most notably of course the Cushing version. And Bliss clearly acknowledges the plethora of carefully collected documentations and personal correspondences that Cushing had accumulated in crafting his tale. However, I think this book stands on its own as a unique rendering of Osler mainly because of one simple fact. Bliss has had the luxury of time on his side to not just document the time and lives and the state of Medicine in the late 19th century, but most importantly, he relates it to the current, modern day state of affairs in those areas as well. He has woven a story that encompasses through the life of the great Osler, the tremendous influences of 19th medicine on modern day medicine. Even if one is not in the health-related professions or the biomedical sciences, one cannot miss the fact that this is a book as much about humanism as it is about medicine.

Biography, like history is riddled with biases, especially if it is about people and events that have revolutionazied mankind. This is particularly so in regards to William Osler, whose life and work have been immortalized, and a man who had acheived a legendary status even during his own life time. Bliss's work is as unbiased as it could possibly be given the already intrinsic biases about his subject. In this sense, this book is also unique from the previous biographies of Osler.

Overall, this is a most enjoyable read. This is definitely a "page-flipper" that takes you into the life, struggles, and triumps not only of Osler, but in a sense, of the entire human race.

William Osler remains an iconic figure in American medicine. Osler is taken often to epitomize the physician who brings a crticial and scholarly approach to the bedside in conjunction with compassion and empathy. In this very well written biography, Bliss traces Osler's life, his achievements, and examines how he assumed iconic status and whether or not this status is deserved. Bliss is particularly well equipped to undertake this task. A well known specialist on Canadian history, he has written other fine books on medical history in a Canadian context.
Bliss presents Osler as a product of the rising British Victorian middle classes. The remarkable son of impressive parents, Osler was the son of an English naval officer turned Anglican minister and his equally intelligent wife. Raised in rural Ontario when this part of Canada was still a frontier, Osler's parents inculcated respect for learning, dedication to hard work, and clearly taught the value of community service. William Osler was not an outlier in this family. One of his brothers became a prominent businessman and two other brothers became important figures in Canadian law and politics. An early interest in natural history (biology) lead Osler to medicine. Trained in then provinicial Toronto and Montreal, he finished his education in some of the great teaching hospitals of Europe. Spotted by his mentors in Montreal as a future star, he was brought back to McGill to teach at the modest medical school. At McGill, Osler launched the career of careful clinical observation, pathologic correlation, and teaching that would propel him to the apex of his profession. His growing reputation led to appointments at the University of Pennsylvania and then to the nascent Johns Hopkins University School of Medicine. At Hopkins, he became the first Professor of Clinical Medicine and introduced the teaching methods that revolutionized medical education in the USA. Relatively little of what Osler did was truly novel. Clinico-pathologic correlation has been standard method for expanding medical knowledge for decades and the clerkship method of teaching had been used in Britain and continental Europe for some time. Osler carried these methods to new heights. In his clinical practice, in his teaching, and in his great textbooks, Osler summarized and codified almost all of 19th century medicine. He was not a notable scientist, though his description and characterization of several important clinical conditions was very valuable, but he brought the best science of his time to the bedside and set clinical medicine on the course of drawing from systematic scientific work. In terms of his personal accomplishments and the example he set for his numerous trainees, his impact on 20th century medicine was immense.
Osler's reputation as a fine physician was deserved. Bliss shows him to be an warm and compassionate individual who was regarded often with great affection by his patients. Blessed with a generous and kindly personality, he enjoyed a wide circle of friends and a happy family life. In important respects, Osler exemplifies some of the most important and most admirable features of the Victorian period. His sense of virtue and service was very strong but he was not a prig and had relatively liberal values. Traveling in Germany towards the end of the 19th century, he noted and deplored rising anti-Semitism. He appears to have been devoid of overt anti-Semitic feelings and had a number of Jewish trainess, all of whom he appears to have treated with his usual combination of high expectations and civil behavior. Alone among the faculty at Hopkins, he supported the admission of women, though he did not really believe in female equality. Bliss spent years immersed in Osler's extensive writings and tremendously extensive correspondence, clearly likes and admires Osler, and his regard for Osler is reflected in the tone of this biography.

Osler was also that quintessential Canadian, the provincial boy who achieves fame on the wider stage of the USA or Britain. At the peak of his fame, he was the best known physician in the English speaking world and something of a minor celebrity.
Like all fine biographies, this book is about more than its central subject. It is valuable on the development of Canadian society, the growth of universities in the USA and Canada, the history of medicine, and the devastating impact of WWI.
This will be the standard biography of Osler and it is worthy of its subject.

One of the most engaging and delightful biographies I have ever read - and whose subject is an absolutely fascinating human being. The interest is everywhere and of every kind: characterological, institutional, international, scientific, medical, historical, social, philosophical, economic, pedagogic, literary, ethical, humorous, tragic, heroic, inspirational.

The effect of the book is uplifting, challenging, instructive, buoying, rivetting; it is almost impossible to put it down, and when one does one's mood is deep, absent reflection.

There is a profound lesson in "William Osler: A Life in Medicine" for our own era and its bizarre and pitiful oblivion of all that really lies at the heart of medicine: suffering, character, judgment, courage, conscience, compassion, ignorance, and you and I.

Not process control, impersonal abstraction, colossalism, profiteering, niggardliness, or cosmetic morality.

- Patrick Gunkel

This is, quite honestly, a hefty tome, but no less may be expected when writing about the greatest American physician who ever lived. Bliss presents us with a detailed, well-paced, and engaging biography of Dr. Osler, from his childhood days in Canada to his final years at Oxford. Being both a student of medicine and a Baltimorean (currently), I took a special interest to the chapters devoted to his post as the first chief of medicine at the Johns Hopkins Hospital.

Unlike the time-honored work by Cushing, Bliss's book is no hagiography; it makes no false overtures about Dr. Osler's iconic grandeur, instead letting the reader discover for himself (or herself) that Dr. Osler was, in fact, as great a man as people say he was. (All that being said, I still value the two-volume Cushing biography, and there is no way I will rid myself of the precious first-edition set I snatched up last year at the Maryland Historical Society bookshop!)

One need not practice Oslerolatry (that is, the veritable worship of Dr. Osler expressed by many of the older faculty at Hopkins and elsewhere) to appreciate this book, though having an interest in medicine and/or medical history may help. Critics often lament that American doctors no longer have any professional integrity, and that taking the Hippocratic Oath is a sham. Read this book, and discover how great the American physician can be...and THEN lament that they don't make them like they used to.

Despite almost a century since his death, William Osler persists as the `the grand old man of medicine', a life devoted to doctoring and doctors, who has supplied inspiration for many generations of physicians in the United States, Canada, Britain and the Continent.

Osler's life was a remarkable achievement as a medical teacher, (important in America in giving medical students real medical experience, as clinical clerks in hospitals) physician, prolific author, councillor, researcher and mentor to literarily thousands of men and women embarking on the profession in the medicos. It was the philosopher and great teacher, William James, who commented to Osler, marvelling and his energy and interests. Osler replied, that he was terribly conscious of time that it was a commodity he wished he could buy more of, as there was so much he could do with it. (p. 502) Osler's zest for work and unbounding passion for medicine set the standard for medical women and men in the twentieth century.

After reading Michael Bliss's brilliant biography of the pioneering neurosurgeon, Harvey Cushing, another remarkable medical man, and Osler's first biographer, it seemed only natural to read about Cushing's mentor. Both biographies are first rate and it really would be a disservice to compare them, because both works are thorough, educational, inspiring and definitive contributions to the greats of medical history.

Osler is the author of the currently classic text, The Principles and Practice of Medicine, which became the core textbook for students and practicing physicians during his life. It became a yearly task for the doctor to revise later editions, (sixteen in all) and in present time, for modern doctors, according to Bliss, has now become patient-centred and a historical document of the state of 19th century medicine.

Osler is famous for his bedside manner, the notion of empowering patients and autonomy in clinical practice. The man's faith in medicine and the legendary "aura" of healing that surrounded him, causing patients to regain the faith in their own healing ability, has caused a renewed interest in humanities joining forces with science, a proper balance, ensuring an optimal treatment and outcome for the patient.

How did the man accomplish so much in one lifetime? Similar to the 18th century philosopher, Immanuel Kant, people close to him could adjust their clocks to the second by the philosopher's movements. Osler was the same: his day was usually planned down to the minute, rising at seven and retiring by ten-thirty everyday.

He was also a man born with writing disease, never a day would go by without putting pen to paper, as his articles, correspondence, speeches and books certainly reveal. A consummate bibliophile, his collection of medical texts and related subjects, at the end of his life reached eight thousand, taking many years to catalogue, ending up being donated, as was his wish, to McGill University.

An excellent biography of an extraordinary man of medicine.

This is a facinating study of a most important and dedicated man, William Osler. He ranks at the highest level for medical pioneers in the establishment of principals of medical ethics and practises in the United States and actually the world. I recommend this thorough biographic study of his life and morals for any person to learn of a life of true selfless dedication. These principles can be transferrd to any field of endeavor. I am proud to be a citizen of Baltimore where he dedicated part of his life and work toward the formation of the Johns Hopkins Medical Institution. His mighty, and magnificent portrait hangs in the lobby of one of the buildings that bears his name on the hospital's campus in east Baltimore.

I'm not going to write a long review, because the other reviewers have already said it much better, but this was an excellent book. It was well written, and down right inspiring. What an incredible man, what a phenomenal life. I imagine this book holds more import to someone in the medical field (as I am), but I think anyone might find inspiration in this. I wish I had read this before applying to medical school to get some perspective. After reading this book, I have vowed to myself to reread it every year to remind myself what a good doctor should be.