THEODORE BILLROTH. A SHORT CHARACTER SKETCH OF GERMANY'S FAMOUS SURGEON. modern surgical amphitheatre of a great 1 hospital is the arena where is fought the battle with death and disease, with pain, misfortune and deformity. An impressive spectacle it is ; tier upon tier of benches rising sharply one above the other, a sea of intelligent faces watching eagerly or indiffer- ently the busy scene below, the glistening instru- ments in their antiseptic baths, the jars, basins and sponges, the assistants going swiftly and silently about their preparations, and in the center of all, the moving spirit, the nineteenth century gladiator, bare- ar med and white-aproned, the operator himself. BILLROTH'S CLINIC. Perhaps the most famous clinic in the world was the late Dr. Theodore Billroth's in the University of Vienna. To it came students from every civilized land to learn the methods and listen to the teachings of the great professor. The discipline in his clinic was that of an army, the result, possibly, of his long military service. A mar- tinet, of few words, cold in manner, though sympa- thetic and tender with his patients, he gave himself little concern as to details, exacting from every one of his ten assistants the perfect performance of the duties assigned to him, seldom troubling himself to bestow a word of praise, while a rebuke from him, usually couched in the words, " But, Doctor," came to be considered almost a disgrace. In operating he w;is cool and almost cold blooded, swift, alert and dexterous. His methods were often unique, so much so his name occurs in modern works on surgery con- tinually, perfecting or improving some operation. His greatest fame was reached in 1881, when he performed for the first time successfully excision of the pyloric end of the stomach for cancer. This achievement made his reputation world-wide, and easily placed him in a commanding position as a bold and success- ful operator. He soon came to be considered the first surgeon in Europe, and his clinic became renowned for the number and character of the operations per- formed by him. Billroth cared little for money getting, the utmost difficulty often being encountered in persuading him to take charge of a case which gave no promise of interest or importance. As a consultant he was in demand in every continental capital of Europe, from St. Petersburg to Rome, occasionally journeying as far as Western Asia or even Egypt to give the benefit of his vast knowledge and experience. Honors had as few temptations for him as pecuniary reward, though many were thrust upon him in the shape of decorations, Russian, Austrian, Turkish, German, Roumanian, and the Emperor Francis Joseph in rec- ognition of his eminence made him a member of the Austrian legislature. HIS PERSONALITY. In personal appearance Billroth was a little above the medium height, with a broad, intellectual face half hidden by a thick, flowing beard, blue eyes, small but sharp anil piercing, and shoulders bent from long DR. BILLROTH. years of study. He was not, strictly speaking, a great teacher. His sentences were terse, delivered without raising his voice, and interesting more from the suliject matter contained in them than from any peculiar charm in their delivery. The respectful attention with which his lectures were received and the absolute silence which reigned while he was speaking, he com- manded without an effort. His success lay chiefly with his more advanced students and with the doctors who were pursuing special courses under his guidance 298 THE REVIEW OF REVIEWS. rather than with the beginners. His generosity and open handedness, aside from the personal fascination of the man and the glamour of his name, increased his popularity among both his assistants and students. It is said that he was in the habit of aiding the needy students whose pinched faces attracted his attention by throwing profitable work in their way. It is at least certain that the assistants profited largely by his unwillingness to undertake a case with little promise of interest. "Oh, go to Dr. So-and-so," he would say when pressed to treat such a patient. EARLY LIFE. Christian Albert Theodor Billroth was born April 26, 1829. at Bergen on the island of Huge. His father was a Lutheran minister, and from his earli- est youth both parents' efforts were directed toward guiding his steps into a professional career. His own inclinations, perhaps, would have led him to enter upon a life devoted to music, for which he showed very early a passionate fondness, but the re- mote possibility of the stage was enough to excite the pastor's family to violent opposition, and in 1848 he began his studies at the University of Greifswald. From there he went first to Gottingen and afterward to Berlin, where he received his degree of M. D. in 1852, on a thesis describing a pulmonary affection re- sulting from section of the vagus nerve. He decided to complete and round out his education by visits to other centres, and accordingly we find him journey- ing to Vienna and Paris. Shortly after he returned to Berlin, and became the assistant of von Laugen- beck, the greatest German surgeon of his time. Billroth began to fit himself for teaching, and in 1856 his labors were rewarded by the position of privat-docent in the university. Other opportuni- ties presented themselves, notably at Zurich, where he was installed as full professor and chief of clinic. There he remained until 1867, since when he has oc- cupied a similar position in the famous Vienna Uni- versity. His life in the Austrian capital was not un- broken, for the outbreak of the Franco-Prussian war recalled him to the Fatherland to assume charge of the military hospitals on the Rhine, at Weissenburg and Nannheim. After the siege of Paris and the close of the struggle he lost no time in returning to his chair at Vienna, where he continued until his death. His health had not been good for eight or nine years past, since an alarming attack of pneumonia, and he went to Abbazia, a well-known Austrian winter resort, to recruit his failing powers, where he died suddenly and peacefully on February 6, of debility due to heart trouble. IN HIS VIENNA HOME. A wife and three daughters, of whom only the second is married, survive him. The eldest daughter was the favorite, their friends often remarking that the relation between them seemed more that of brother and sister than parent and child. They kept open house, entertained lavishly and made their home a salon where all the musical celebrities of Vienna, notably Brahms, Henschel and Saint-Saens, were ac- customed to assemble. Billroth himself was an ex- cellent pianist, though he seldom appeared as a per- former. Still he was a charming host and an atten- tive listener and the concerts he gave attracted the best artists of the city. Brahms and the Doctor were fast friends, the composer often treating his friends to a first performance of his compositions in his house. This style of entertainment and the expensive mode of living prevented any appreciable saving, so that when his illness awoke Dr. Billroth to a realizing sense of the possibility of his own death and the finan- cial straits in which his family would be left, he deter- mined on retrenchment and moved immediately into a flat, giving up his home and extravagance in living. Although so famous and so widely consulted, his practice was not large, owing to the peculiarities we have mentioned, and it is unlikely the change was made in time to permit him to accumulate even a competency. HIS ACHIEVEMENTS. Dr. Billroth entered upon the practice of his pro- fession at a time when antiseptic surgery was in its infancy, when or before Lister made his great dis- coveries, and throughout his whole life much of the brilliancy of his success has been due to his championship of its principles. His early work was, in fact, more of the surgical pathologist than of the active operator, as can easily be seen from his numer- ous writings on bacteriological and pathological sub- jects. He was a prolific author, writing with the absolute ease that comes of a thorough knowledge of one's subject and long practice. It is said that he never hesitated, never waited for a reference. They were at his finger's end. One of the more widely quoted of his papers was his treatise on "Wound Fever; " but the volume which called forth most discussion and not a little unfavorable criticism was entitled " Teaching and Learning in German Schools." The work was translated into five or six European tongues, read and commented upon every- where. In it he takes it upon himself to lay severe strictures on the Jews, and it was these anti-Semitic utterances (entirely foreign to his life and friendships) which brought down upon him the storm of indigna- tion. It is well to have lived, if, in dying, one's name is left inscribed where the sons of men may read and be incited to more arduous and better work. Bill- roth's pluck and daring won him first place among the surgeons of modern Germany, some say of the world. His name will always be identified with the advance of surgical science, with the alleviation of human misery, and is one to be written with that of Sims and of Lister. The REVIEW of REVIEWS, American Edition, Edited by Albert Shaw The Review of Reviews is published each month in New York and London, the two editions differing in many features, but publishing numerous articles in common. The English Edition is edited by W. T. Stead, Mowbray House, Norfolk St., Strand, London. CONTENTS FOR MARCH. 1894. Professor Billroth's Clinic Frontispiece The Progress of the World- Brazil's Unfought Naval Battle 259 Status of the Insurgents 259 Admiral Benham's Performance 261 > The Wreck of the Kearsarge.................... 261 Robert Stein's Arctic Expedition 262 To Study Ellesmere Land 262 To Rescue Bjorling's Party 263 Mr. Stein's Plan of Operations 264 Captain Wiggins' Siberian Voyage 264 Exploration Beyond Hudson Bay 264 Progress with the Tariff Bill 265 Hawaii Again 265 Silver and the- Seigniorage 266 Mr. Peckham's Defeat 267 Vindicating an Honest Ballot 267 Is Gladstone to Retire ? 268 War Upon the House of Lords 268 Kaiser and Ex-Kanzler 268 " The Peasant Emperor " 269 France Solidifying 269 Anarchists Still at Work 269 Italy in Revolt .' 270 Towards "Vrill" 270 Europe the Prodigal 270 Wanted, a New Peter the Hermit 270 A Tragic Christmas Eve 271 Crushing the African Slave Trade 271 The New South African State. 271 The French and the Hovas 272 The Khedive's Cantrups 272 Nostrums-Western and Eastern 272 Well Caught 273 Work and Relief .... 273 The Death of George W. C hilds 273 In the Educational W orld 273 With portraits of President Peixoto, Admiral da Gama, Admiral Benham, Mr. Robert Stein, Alfred Bj or ling, Evald Kallstenius, Joseph B. Tyrrell, Richard P. Bland, Wheeler H. Peckham, Lieutenant Maritz, Sir Gerald Portal, and the Marquis of Lansdowne ; the sloop-of-war Kearsarge, maps and other illustrations. Record of Current Events . 274 With portraits of J. Russell Reynolds, Constance Fenni- more Woolson, and Miss Tucker. Current History in Caricature 278 With reproductions from American, Canadian and for- eign cartoon papers. Childs, the Giver 283 By Talcott Williams. With portraits and other illustrations. A New Constitution for New York 291 With portraits of delegates at large. Emergency Relief at Washington 295 Theodore Billroth : A Character Sketch 297 With portrait of Dr. Billroth. The Story of the World's Parliament of Religions 299 By Rev. F. Herbert Stead. With portraits of prominent representatives at the World's Parliament. Miss Clara Barton and the Red Cross 311 By Sophia Wells Royce Williams. With portrait of Miss Barton. Leading Articles of the Month- To the Rescue of the Sea Islanders 317 Relief for the Unemployed 319 A Solution of the Social Problem 321 Old Age Pensions a Debt, Not a Dole 321 High Wag es the Cause of Cheap Work 322 A Talk With a Tramp 323 The Income Tax in England 323 Catholic Scheme of Graduated Income Tax 323 " The Paralytic Bank of England." 324 The Industrial Crisis of the South 324 The South Carolina Liquor Law 325 Public Architecture in this Country 326 Cost of Constructing and Operating an Electric- light Plant... 327 Electricity in Suburban Development 327 Tammany Hall and New York City 328 "Political Reunion from a Canadian Point of View" 330 The Hawaiian Difficulty 330 The Republics of the World 333 An Advocate of Proportional Representation 335 Is Representative Government a Failure ? 336 Europe a Federation or a Wreck ? 337 Who Killed the British Federation League ? 338 The History of " The Chiltern Hundreds " 338 Indian Currency 338 Why the Sicilian Peasantry is in Revolt 3 9 Is Europe Going Mai? 340 The Psychology of Crime 342 Can Consumption be Cured ? 342 The Making of Scotch Doctors 344 What Killed Hindu Science 344 A Posthumous Article by Renan 345 A Modern Jew on Jesus of Nazareth 345 Moslems and Christians, How Far One 346 Buddhism in Ecclesiastes .... 346 Poetic Tournaments in Bengali 347 Herbert Spencer's Tribute to Tyndall 247 The New Master of Balliol 348 » With portrait of Prof. Edward Caird. Stories About Dean Stanley 350 Tales About Tennyson 350 Alma-Tadema at Home 351 Mr. Ruskin and Modern Problems 352 • Clematis and Ivy 352 < The Incarnation of English Dissent 35A ' The Real Stonewall Jackson 353 • Jan Van Beers at Home ... 354 A New Edison on the Horizon 355 Chicago's Greatest Millionaire . 355 Whitcomb Riley as a Sign Painter 356 The Age of the Earth 356 The Periodicals Reviewed 357 The New Books 366 Contents of Reviews and Magazines 372 Index to Periodicals 381 TERMS :-$2.50 a year in advance ; 25 cents a number Foreign postage $1.0J a year additional. Subscribers may remit to us by post office or express money orders, or by bank checks, drafts or registered letters. Money in letters is at senders* risk. Renew as early as possible in order to avoid a break in the receipt of the numbers. Bookdealers, Postmasters and Newsdealers receive subscriptions. THE REVIEW OF REVIEWS, 13 Astor Place, New York City. PROFESSOR. BILLROTH'S CLINIC. (See page 299.)