Posted in History & Literature

Surgeon

In many cultures (especially in Asian countries), the public conception of doctors has changed where surgeons are considered the “real doctors”. This is particularly evident in Asian dramas where main characters tend to be surgeons, saving the patient’s life with dramatic operations and charisma. The idea that surgeons are superior to physicians may go as far as some adults advising medical students to become surgeons for a higher status (again, more evident in Asia). However, as the root of surgery is completely different from that of medicine, technically it is a misnomer to call a surgeon a “doctor”.

This is reflected in the relatively unknown fact that a fully-trained surgeon is referred to as “mister”, not “doctor”. To understand why surgeons call themselves Mr., we must look into the origin of the surgical discipline.

In ancient times, surgery was limited to treating flesh wounds and setting bones (with some exceptions such as trepanation), such as those sustained during battles. Other than the odd few cases of specialised surgeons such as Galen of ancient Greece and Hua Tuo of ancient China, it is hard to find records of doctors employing surgery as a form of treatment. This was mainly due to two reasons: that surgery was considered a “dirty, unrefined” form of treatment, and that surgery was too risky.

For a long time, especially in the Western world, surgery was considered to be of a lower status compared to medicine. It was considered more of a craft tradition – something which physicians believed was beneath them. Because of this, surgeries were mainly performed by barbers in medieval Europe. One can still find evidence of a barber’s alternative historical role on the barber’s pole, which has white, red and blue stripes. The white stripe symbolises bandages, the red symbolises arterial blood and the blue symbolises venous blood. This originates from the practice of bloodletting, where white bandages wrapped around a pole would get dyed red from the blood, giving the appearance of the barber’s pole. The profession of “surgeon” did not formally appear until around the 18th century when a Guild of Surgeons was formed in England. However, physicians refused to accept surgeons as equals for a further century. When they did come to accept that surgery was a legitimate form of medical treatment, the surgeons decided that they did not want to be assimilated as doctors, so they chose to keep their title of “mister” to distinguish themselves from physicians.

The reason why surgery was considered an unrefined art in the past mainly focuses on three issues: bleeding, pain and infections. Before modern surgical developments, uncontrolled bleeding was a real issue in surgery. This not only made surgeries extremely messy, but it was also dangerous for the patient as patients would often die from shock (dangerously low blood pressure). On top of this, anaesthetics was only introduced in the late 19th century, meaning before that, patients had to suffer the pain of their flesh being cut and stitched with no relief. Of course, this meant that surgeries were almost always a brutal scene, with the agonising screams of the patients filling the room, while they sprayed blood everywhere. Lastly, even if the patient somehow survived the surgery without bleeding out or dying from the stress and pain, there still remained a high risk of post-operative infection. Thus, surgeries were most often unsuccessful and were considered a barbaric form of treatment with no promise.

Thanks to medical advancements, surgery has become an important aspect of medicine, where one cannot live without the other. However, the tension still remains between physicians and surgeons, with each profession jokingly mocking the other whenever a chance arises.

Posted in History & Literature

Lady Godiva

During the 11th century, the town of Coventry was suffering grievously under the earl’s oppressive taxation scheme. The earl’s wife, Lady Godiva, took pity on the people and pleaded her husband to lift the heavy taxes. The husband refused over and over, until one day in exasperation he made a wager: if she would ride through the streets of Coventry naked, he would grant her request. The earl believed that she would never undertake such a shameful, scandalous act. Lady Godiva pondered on the decision for a while, but then agreed on the condition that her husband keep his word.

Rumour quickly spread of what Lady Godiva was willing to do for the sake of her people. Out of respect and appreciation, the people of Coventry mutually agreed to stay indoors behind shuttered windows to preserve her dignity as she passed. On the fateful day, Lady Godiva set out on her white horse, stark naked and only draped by her long luscious hair. The entire town was silent, with every person in their home with the windows closed shut so that the Lady was the only one passing by, with no one to see her. However, one man, a tailor by the name of Tom, could not overcome his curiosity and lust and decided to peep through a hole in his shutter to gaze at her nude body. At that moment, he was struck blind, being punished for his voyeurism (this is the origin of the term “peeping tom”). In the end, the earl reluctantly abolished the onerous taxes, admiring his wife’s bravery and the respect the people had for her.

Posted in History & Literature

Chivalry

Chivalry was a concept developed in medieval times and is defined as the noble qualities a knight was supposed to have, such as courage and a readiness to help the weak. It is characterised by the traits of gallantry, courtesy and honour. Nowadays, the concept of chivalry is largely confined to the mannerisms a gentleman should treat his lady with.

The following is a list of some gentlemanly acts any man should follow to pay due respect to their women:

  • Open doors and pull out chairs.
  • Be punctual, polite, keep calm and collected.
  • Put your coat or jacket around her on a cold day.
  • Be helpful, such as helping fix things and lifting heavy objects.
  • Cover her with your umbrella even if it means you get wetter.
  • Walk on the outside of the sidewalk. (This is derived from the tradition of Victorian England when people would throw excrements out the windows – the male would be more likely to be hit and thus carried an umbrella at all times)
  • Do not be thrift and know how to pay bills discreetly.
  • When conversing, listen to what she says and be attentive.
  • Be romantic, treat her with flowers, gifts and surprises.
  • Compliment her and accept her for the person she is.
  • Never make meaningless promises or go against your word.
  • Respect her.

Although most of this list is part of general etiquette, it is indubitably a crucial part in courting. In fact, as author John Bridges said, being a gentleman requires “a little logic, a bit of forethought and a great deal of consideration for others”. 

However, one cannot help wonder how long chivalry can last in this modern world. As chivalry was based on the idea that the strong should help and protect the weak, it essentially implies that women are weaker and in need of protection by the man. Ideologically speaking, this goes against the arguments of some feminists. Does this mean that those women do not expect chivalry from males?

Regardless, a true gentleman must act chivalrously and treat ladies with proper etiquette if they expect to be respected and loved in return.

Posted in History & Literature

Black Death

This disease, also known as Pest or the bubonic plague, was a vicious infectious disease that decimated medieval Europe. It is caused by the bacteria Yersinia pestis, usually transmitted by fleas. The symptoms vary from high fever, malaise, nausea and vomiting, headaches, muscle cramps, seizures, red rashes, coughing and swollen lymph nodes, and causes death within four or five days without treatment.
People did not know about the existence of bacteria back then (it would be 200 more years until Louis Pasteur would suggest germs as the cause of infections). Back then, they considered diseases to transmit through miasma, or bad air. Also, they believed that to prevent transmission, they required a stronger smell to counter it.

Plague doctors, who treated according to the miasma theory of disease, wore a special set of equipments that were known as beak doctor costumes. They wore an overcoat, hat, gloves and boots made from waxed leather, carried a cane to assess the patient and point things out, and a peculiar mask. The mask had a long beak like a bird’s, giving the doctors the nickname beak doctors. The masks had round, glass windows to see through, and two small nostrils at the end of the beak.

Why did they wear this strange mask? The beak was hollow and doctors filled it with flowers, herbs, vinegar and incense that produce a strong smell, so as to “purify” the air coming through the nostrils. 
Although the miasma theory has been falsified by germ theory, this gear was the first hazmat suit in history.

There is another fascinating fact regarding the Plague, miasma theory and beak doctors. It regards the nursery rhyme, Ring a Ring o’ Roses:

Ring-a-ring-a-roses,
A pocket full of posies; 
Atishoo! Atishoo! 
We all fall down. 

This nursery rhyme actually describes the Plague. The ring of roses refers to the red rashes and swelling of lymph nodes – a symptom of the Plague; the posies were herbs used to counter the miasma; coughing and sneezing were end-stage symptoms before death, which is shown in the final line. 

Posted in History & Literature

Unicorn

The unicorn is pictured as a white stallion with a single, prominent horn on its forehead. It is still loved and is one of the most well-known mythical creatures. As with any mythical beasts, there are interesting stories related to the unicorn.

The horn is the source of the unicorn’s strength – the infinite fountain of magical power that grants the unicorn unmatched strength and speed. If it meets an enemy it either sprints and disappears, or uses its large weapon to impale even the hardest armour. This makes it extremely hard to capture.

Medieval people believed the horn of the unicorn to be a highly valuable magic ingredient, with extremely potent cleansing properties that could purify even lakes and seas. But as the only way to attain the horn is to capture a unicorn, it was an extremely rare commodity.
To catch a unicorn, one must know its most important (yet not well-known in the modern age) trait. Although they are wild beasts with a savage temper, they calm down like lamb in front of one group of people – virgin maidens. If it detects even the faintest scent of a virgin, it rushes towards her and places its head on her lap, soundly falling asleep. Due to this characteristic, it is often portrayed as a symbol of purity and chastity, and also Jesus Christ and the Virgin Mary.
According to notes written by Leonardo Da Vinci himself, hunters used this trick to capture unicorns that would fall asleep on a virgin’s lap (whom they brought with them to aide in the hunt). Even a mighty beast has a weakness that can be exploited.

On a side note, it is also written that if the unicorn senses that the maiden is not a virgin, it would instantly use its large weapon to impale her until death.