(As promised during the Zoom meet-up this afternoon, the absolutely true story of the first cataract surgery in Texas.)
The practice of medicine in these United States for most of the 19th century was a pretty hit or miss proposition. Such was the truly dreadful state of affairs generally when it came to medicine in most places and in all but the last quarter of the 19th century that patients may have been better off having a go with the D-I-Y approach. Doctors trained as apprentices to a doctor with a current practice or studied some books and hung out a shingle. Successful surgeons possessed two basic skill sets; speed and a couple of strong assistants to hold the patient down, until he was done cutting and stitching.
But in South Texas from 1850 on, there was doctor-surgeon who became a legend, for his skill, advanced ideas, and willingness to go to any patient, anywhere and operate under any conditions – and most usually with a great deal of success. Doctor Ferdinand Ludwig von Herff, who dropped the aristocratic ‘von’ almost immediately upon arriving in Texas, was also an idealist, and prepared to live in accordance with his publicly espoused principles. He came to Texas in 1847 as part of a circle of young men called the “Forty,” who had a plan to establish a utopian commune along ideas fashionable at the time.