The practice of medicine in these United (and for the period 1861-1865, somewhat disunited) States was for most of the 19th century a pretty hit or miss proposition, both in practice and by training. That many sensible people possessed pretty extensive kits of medicines – the modern equivalents of which are administered as prescriptions or under the care of a licensed medical professional – might tend to indicate that the qualifications required to hang out a shingle and practice medicine were so sketchy as to be well within the grasp of any intelligent and well-read amateur, and that many a citizen was of the opinion that they couldn’t possibly do any worse with a D-I-Y approach. 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 – they may have been better off having a go on their own at that.
Most doctors trained as apprentices to a doctor with a current practice. There were some formal schools of medicine in the United States, but their output did not exactly dazzle with brilliance. Successful surgeons of the time possessed two basic skill sets; speed and a couple of strong assistants to hold the patient down, until he was done cutting and stitching. Most of the truly skilled doctors and surgeons had their training somewhere else – like Europe.
But in San Antonio, from 1850 on – there was a doctor-surgeon in practice, who ventured upon such daring medical remedies as to make him a legend. His patients traveled sometimes hundreds of miles to take advantage of his skill …