amputation

These days, a surgery is performed in comfort, as the patient is under anesthesia, and therefore, feels none of the surgical procedure, at least that is true for most people. There are an unfortunate few for whom anesthesia has little effect. Dr Robert Liston was a pioneering Scottish surgeon, well known for his skills in an era prior to anesthetics, when speed made a difference in terms of pain and survival. For most of us, the idea of a surgery performed in a matter of seconds would not instill much confidence in the doctor…or the procedure, but there was a time when all surgical procedures were performed in this way. People couldn’t take it very long, and the only thing they might have to dull the pain was alcohol…just like we have all seen in the old western movies.

Dr Robert Liston was an expert. He could perform an amputation in seconds. All was going well, and he was a trusted surgeon until 1847, when he was performing an amputation, which he completed in 25 seconds. He was operating so quickly that he accidentally amputated his assistant’s fingers as well. I can only imagine the shock. His was a career filled with skill and excellence, and in an instant, he had a major mistake on his hands.

Dr Liston was famous for his speedy surgeries…often lasting only around 30 seconds. He was well known and respected. In his book “Practical Surgeries,” published in 1837, he emphasizes the importance of quick surgeries, arguing that “these operations must be set about with determination and completed rapidly.” It was all he knew to do. At that time in history, it was the standard of care that everyone expected.

Not everyone believes that the mishap was a true story, and I suppose we will never know, but as the story goes, the case went from bad to worse, when both the patient and the assistant developed sepsis and died. In addition, a spectator reportedly died of shock, meaning that the mortality rate of that one surgery was 300%. While that one surgery was terrible, Dr Liston had many stories of amazing surgeries and miraculous successes. Nevertheless, this one surgery was his most famous. There is a saying by Michael Josephson that goes like this, “We judge ourselves by our best intentions and most noble deeds, but we will be judged by our worst act.” That worst act doesn’t necessarily have to be intentional, and in fact most “worst acts” aren’t intentional. Liston was a good surgeon, and even if he did have this mishap, his overall mortality rate was actually impressive compared to his peers…especially when you consider the speed factor. According to historian Richard Hollingham, “of the 66 patients Liston operated between 1835 and 1840, only 10 died – a death rate of only around 16%.”

With Great Grandpa SchulenbergWhen something happens to a child that leaves them missing one limb, it seems like they have a tendency to meet that adversity with a strength and determination that many adults simply don’t. It’s not that the adults couldn’t, but rather that as we get older, sometimes we tend to feel sorry for ourselves instead of making up our mind not to let this become a stumbling block for us.

Since I have been conversing with my husband, Bob’s Uncle Butch Schulenberg, my thoughts have often gone back to his dad, Bob’s grandfather, Andrew Schulenberg. I did not know Grandpa Andy until my children were five and six years old, but when I met him, I liked him immediately. He had been the sheriff in Forsyth for many years, and if you had the Schulenberg name, they knew who you belonged to there. The people of Forsyth really liked him. I was very thankful that we had the chance to meet him. It was a visit that I have never forgotten, and have always been thankful to have had.

At first, I wondered if he had lost his leg later in life, because I couldn’t imagine a sheriff with a wooden peg for a leg. Of course, I was wrong, because he lost his leg as a young boy of just fifteen years. He had gone antelope hunting with his friend, Harold Stewart, when his gun accidentally discharged, sending a bullet through his leg. It was a cold October morning in 1921, and medicine not being what it is today, the leg just couldn’t heal. Andy spend 23 months and 11 days in the hospital. Try as they might to save the leg, it simply was not to be. The leg was amputated in June of 1922, eight months after the accident. It was a devastating thing for a teenaged boy, but young Andy determined not to let it stop him.

For Andy, time stood still to a large degree, as it always does when you are in the hospital. I cannot imagine spending almost two years in the hospital, even if a large part of it would be in pain, or so out of it that you barely noticed. I also can’t imagine how it must have been for his parents, who were having to deal with not only the loss of the much needed help of their eldest child, but also with the rest of the family, which was scan0103 (3)continuing to grow. Andy missed the birth of his little sister, Bertha, who was born in December 1921, just two months after the accident. That must have been so hard for him and his parents.

Nevertheless, Andy didn’t let the loss of his leg defeat him. I’m sure it took a long time to figure everything out, but he did, and in the end, became a successful man. When you think about it, people lose limbs in many ways, and it isn’t about the limb in the end, but rather about the constitution of the man or woman that determines the success or failure of the rest of their life. Andy was the kind of man who was made of plenty of determination, and that made all the difference.

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