Introduction
Trudeau's Early Life and Medical Training
Trudeau's Personal Experience with Tuberculosis
Changing Knowledge of Tuberculosis in the nineteenth century
Trudeau's Reading
Deciding How to Treat Patients
Learning about the Tubercle Bacillus
Attempts to Destroy the Bacillus
Search for a Vaccine
Salvaging Tuberculin
Sanitorium and Out-Door Care
The Evolution of Sanitarium Care
Conclusions
Bibliography
Index

DAVID L. ELLISON is Associate Professor of Medical Sociology at Rensselaer Polytechnic Institute. Among his earlier publications is The Bio-Medical Fix (Greenwood Press, 1978).

In 1882, Robert Koch discovered the TB bacillus, signaling a redirection of medical thinking from the trial and error guesswork of individual experience toward medical care based upon science. Professor Ellison uses the career of Edward Livingston Trudeau (1848-1915), a recognized leader in the American crusade against tuberculosis, to examine the development of medical science as a human process.
Ellison asks how the germ theory influenced the thinking of physicians like Trudeau; how it affected the sanitorium treatment of patients, and even the development of laboratory studies. During Trudeau's lifetime, physicians confronted a killer disease with contradictory knowledge that was largely empirical, based on their clinical experience. Koch's discovery of the cause of tuberculosis raised the hope that a cure was within easy reach. But, in the end, a cure eluded Trudeau. Despite this, he adopted a method of caring for patients in the early stages of tuberculosis, he legitimated that system to the public, and he defended it before his fellow physicians. Trudeau's story has lessons for the way society looks at medicine specifically and all sciences in general. As such, this book will be of great interest to historians of medicine and science.