What it was like being a rural doctor in 1948

Jul 24, 2015 6:39 PM

leversandpulleys

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What it was like being a rural doctor in 1948

Dr. Ernest Ceriani makes a house call on foot, Kremmling, Colo., 1948. Dr. Ceriani was the sole physician for an area of about 400 square miles...

Dr. Ceriani examines a feverish 4-year-old girl suffering from tonsillitis. Although most of his patients were children, Ceriani was initially inexperienced in pediatrics when he started his practice, and studied up on it whenever he had the chance.

Dr. Ceriani sits at bedside of a patient as he assesses flu symptoms during a house call. When Smith began "Country Doctor," he shot for a period of time with no film in his camera, to help Ceriani get used to his presence without wasting precious film.

The doctor tapes a patient who broke some ribs after a horse rolled over him.

Dr. Ceriani uses a syringe to irrigate wax from an elderly man's ear to improve his hearing.

Two friends transport Dr. Ceriani to Gore Canyon so he can enjoy a few hours of recreational fishing, a rare treat for the hard-working physician.

Dr. Ceriani is called to an emergency: A young girl has been kicked in the head by a horse and is badly injured.

The child's worried parents look on as Dr. Ceriani, surrounded by nurses, examines their 2-year-old daughter.

A doctor in the late 1940s stitching up a girl's head to minimize scarring, but was not able to save her eye

Dr. Ceriani has stitched the girl's wound to minimize scarring, but he must now find a way to tell the parents that her eye cannot be saved and they must take her a specialist in Denver to have it removed.

The doctor helps a rancher carry his son into the hospital. The inebriated young man dislocated his elbow when he was thrown from a bronco at a rodeo.

In the backseat of a car, Dr. Ceriani administers a shot of morphine to a 60-year-old tourist from Chicago, seen here with her grandson, who was suffering from a mild heart disturbance.

"Don't tell my mother," said the young man. Still under the effects of ether, he didn't realize she'd been holding his hand during the procedure.

[Image] A rural doctor checking the blood pressure of an 85 year old man in 1948

Dr. Ceriani checks the blood pressure of 85-year-old Thomas Mitchell, who came to the hospital with a gangrenous leg. Knowing that Mitchell might not be strong enough to endure the necessary amputation, Ceriani had been postponing surgery.

When Mitchell finally rallied, the doctor gently carried him from the basement ward up to the operating room of the hospital, which had no elevator.

Dr. Ceriani gives the 85-year-old man spinal anesthesia before amputating his gangrenous left leg.

Not published in LIFE. Doctor Ceriani checks 4-year-old Jimmy Free's foot, cut when the boy stepped on broken glass.

1940s Kremmling, Colorado is similar to how I picture Nightvale.

The treeless ranching community of Kremmling, Colo., stands on a 7,000-ft. plateau beneath the towering Rocky Mountains.

After finishing a surgery that lasted until 2 AM, Dr. Ceriani stands exhausted in the hospital kitchen with a cup of coffee and a cigarette. "The nurses," LIFE noted, "constantly admonish him to relax and rest, but because they are well aware that he cannot, they keep a potful of fresh coffee simmering for him at all hours."

Not published in LIFE. Dr. Ceriani examines his handiwork after the partial amputation of a patient's leg, Kremmling, Colo., August 1948. The patient, Thomas Mitchell, was suffering from a gangrenous infection.

EDC - Country Doctor, 1948

The contents of a country doctor's bag, Kremmling, Colo., 1948.

Sauce http://time.com/3456085/w-eugene-smiths-landmark-photo-essay-country-doctor/ from the 1948 photo essay "Country Doctor."

eugene_smith

historical

photography

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awesome

Thank OP!! Would've been awesome meeting Dr. Ceriani..

11 years ago | Likes 4 Dislikes 0

+1 for cat tax

11 years ago | Likes 16 Dislikes 0

Now that's a doctour right there!

11 years ago | Likes 6 Dislikes 0

We don't bind broken ribs anymore. It can cause pneumonia. Great post!

11 years ago | Likes 3 Dislikes 0

They still do the ear wax removal thing. It's just a syringe (no needle) full of warm water, used to flush it out.

11 years ago | Likes 4 Dislikes 0

crazy

11 years ago | Likes 4 Dislikes 0

Logged in to up vote and fave. So happy it was a big photo album.

11 years ago | Likes 18 Dislikes 0

This is the sort of person we should be idolizing. Not some overpaid actor, sports star or some nobody who tries to "break the internet".

11 years ago | Likes 5 Dislikes 0

The Great Influenza is an AMAZING book if you want to learn about early American medicine. It's crazy how far we've come.

11 years ago | Likes 8 Dislikes 0

Excellent post. I wonder what happened to the little girl who got kick by a horse...

11 years ago | Likes 7 Dislikes 0

She received a glass eye and went on to live in Kremmling until she died just a few years back. Taught me arts & crafts at the library.

11 years ago | Likes 9 Dislikes 0

Thank you!!! I was so moved by that picture. The worried look on Doc's face, the girl's clinched eyelid.

11 years ago | Likes 3 Dislikes 0

Thank you so much for sharing that.

11 years ago | Likes 5 Dislikes 0

Thank you for the follow-up. I'm not sure if it was the fact that I have a young daughter, but that pic almost made me cry.

11 years ago | Likes 5 Dislikes 0

I love how much happier his eyes look when he's delivering the baby as opposed to how sad they look when dealing with hurt children

11 years ago | Likes 6 Dislikes 1

Just... wow. +1

11 years ago | Likes 9 Dislikes 0

I've been to Kremmling, Colorado. Talk about a long haul to Denver, even today. In 1948 it probably took all day.

11 years ago | Likes 6 Dislikes 1

It's about 2hrs 30min today. Considering the Moffat tunnel was in place in 1928, it probably wouldn't have been quite a full day.

11 years ago | Likes 2 Dislikes 0

truth. Moffat tunnel would have been nice back in the day

11 years ago | Likes 1 Dislikes 0

What a beautiful and uplifting post! Thank you so much for sharing, OP!

11 years ago | Likes 6 Dislikes 0

As a medical student, thank you! It's awesome to see how far we've come.

11 years ago | Likes 4 Dislikes 0

How many housecalls have you made so far?

11 years ago | Likes 1 Dislikes 0

6 or so. 3 in costa rica as college student, 3 here in NJ as a med student.

11 years ago | Likes 1 Dislikes 0

thanks OP im a photographer who has been jaded by life and abandoned my craft this reminds me of what I loved about photography, much needed

11 years ago | Likes 35 Dislikes 0

Shut up Derek

11 years ago | Likes 2 Dislikes 1

I have moments like this as a student photographer, but get inspired. Do some history research and get excited again!

11 years ago | Likes 6 Dislikes 0

This is so amazing. My grandfather was a doctor at the same time, with the Navy in Japan though.

11 years ago | Likes 4 Dislikes 0

I would love to hear about some of his experiences as a doctor, in Japan, back then.

11 years ago | Likes 1 Dislikes 0

he's lost his mind over the past few years... he adopted his first daughter from Japan though

11 years ago | Likes 1 Dislikes 0

I don't know why but the brutal beauty of this moved me to tears. Holy shit thanks for sharing.

11 years ago | Likes 255 Dislikes 2

The look in his eyes as he hokds his coffee cup... I dont think he was even aware he was holding it.

11 years ago | Likes 1 Dislikes 0

I've always liked Eugene Smith. He was a great documentary photographer without an ounce of sentimentality and tonnes of subtle technique.

11 years ago | Likes 5 Dislikes 0

I was also blown away when I reached the end of the post and read that ALL of this was shot in only 23 days of work.

11 years ago | Likes 30 Dislikes 0

In a typical city Emerg (obviously run by like 200 more staff), all of the above happens daily. It's insane to think about it.

11 years ago | Likes 5 Dislikes 0

I was wondering, what was his name again?

11 years ago | Likes 2 Dislikes 0

If only more posts were like this, Imgur would be such an amazing place.

11 years ago | Likes 65 Dislikes 1

Imgur is amazing, but I know what you're trying to say.

11 years ago | Likes 7 Dislikes 2

I have been wondering why our world has been ...changing... there was a time when men and women like Ceriani were more commonplace -

11 years ago | Likes 3 Dislikes 0

This reminds me of A Young Doctor's Notebook. Amazing show with Elijah Wood and John Hamm.

11 years ago | Likes 3 Dislikes 0

This is the type of doctor I want to become...what a badass

11 years ago | Likes 32 Dislikes 1

Have you ever seen Royal Pains? The Doctor on the show is sort of a modern day version of this, albeit on Long Island.

11 years ago | Likes 2 Dislikes 1

Sorry to burst your bubble - docs like this don't exist anymore. Insurance Cos. won't pay for this type of specialized care in a primary doc

11 years ago | Likes 1 Dislikes 2

You assume I'm American. And yes these doctors do exist, especially in rural areas.

11 years ago | Likes 1 Dislikes 0

I am a doctor in a rural area - we don't do major surgeries. No pcp is going to have privileges at a hospital, nor are they going to have -

11 years ago | Likes 1 Dislikes 2

Great images; especially the one of the doctor carrying his patient before leg amputation and the one of him with ciggie and coffee.

11 years ago | Likes 16 Dislikes 0

Even 1948 had Cat Tax.

11 years ago | Likes 3 Dislikes 0

As a physician we are no longer permitted to just carry around morphine and ether in our black bags. Just fucking computers.

11 years ago | Likes 150 Dislikes 1

Fucking managed care bullshit.

11 years ago | Likes 3 Dislikes 0

My dentist refused to give me cocaine tooth drops :( said we use novocaine nowadays instead. I was so disappointed.

11 years ago | Likes 23 Dislikes 0

What about regular computers?

11 years ago | Likes 4 Dislikes 0

What do you mean 'permitted?' There is no higher authority on medicine than a doctor. You need to rebel.

11 years ago | Likes 10 Dislikes 4

The delivery of medical care is very highly regulated and monitored. It's almost to the point I can't shit without getting a pre-auth

11 years ago | Likes 3 Dislikes 0

Insurance companies, federal and state governments, medical boards... The list goes on

11 years ago | Likes 2 Dislikes 0

I am loving the historical pictures on here lately

11 years ago | Likes 13 Dislikes 0

this is wonderfu! Wonder if he's still around.

11 years ago | Likes 6 Dislikes 0

It's so crazy that this man had to do literally every specialty from surgery to pediatrics by himself. Medicine has changed a lot.

11 years ago | Likes 373 Dislikes 1

That's what being a Doctor meant -- being able to treat sick people, regardless of what was wrong with them.

11 years ago | Likes 42 Dislikes 2

Or triple checking their insurance coverage.

11 years ago | Likes 17 Dislikes 2

Insurance pays the bill - would you work for free?

11 years ago | Likes 1 Dislikes 0

Or getting sued for doing nothing wrong.

11 years ago | Likes 11 Dislikes 0

It's a bit ridiculous that he's doing the ear irrigation even though there's a nurse around.

11 years ago | Likes 6 Dislikes 4

Nurses where there to assust not do prosigers

11 years ago | Likes 3 Dislikes 2

Docs still perform this procedure in a lot of places.

8 years ago | Likes 1 Dislikes 0

No they dont

8 years ago | Likes 1 Dislikes 0

These days nurses do all the ear irrigations. Even USA is not so insane as to have MDs doing it, right?

11 years ago | Likes 2 Dislikes 3

Funnily enough, these photos aren't of a modern Dr and nurses. There's no point criticizing a 40's Dr for not following modern practices

11 years ago | Likes 2 Dislikes 0

Rural doctors, however, are still very jack-of-all-trades even today. Some places are quite isolated from big hospitals.

11 years ago | Likes 90 Dislikes 0

And its getting harder and harder to attract doctors to those rural areas because its so much better money to stay in a city centre

11 years ago | Likes 24 Dislikes 1

Another reason for universal healthcare. Standardized pay. Still need to go to bigger cities for cancer, brain surgery and such ofc.

11 years ago | Likes 8 Dislikes 4

Why would I choose to live in the boonies and work 5 times as hard if I'm to be paid the same as if I stayed in the more convenient city?

11 years ago | Likes 9 Dislikes 1

Well uh...people, including doctors, are born in boonies too. Some actually work and live where they were born and raised...

11 years ago | Likes 1 Dislikes 0

Some people like the nice countryside compared to a bustling city. Living expenses also cost much less in the country

11 years ago | Likes 3 Dislikes 0

Not so true. Rural areas can be lucrative, but the medical establishment, oddly, discourages rural practice in favor of academic setting.

8 years ago | Likes 1 Dislikes 0

No it doesnt

8 years ago | Likes 1 Dislikes 0

That is amazing. Also makes me realize how far we have gone in the medical world. +1 just beautiful.

11 years ago | Likes 650 Dislikes 2

And how far we can go in the future..

11 years ago | Likes 2 Dislikes 0

What it was like to be a rural doctor in Russia in 1917:

11 years ago | Likes 8 Dislikes 0

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11 years ago (deleted Jul 25, 2015 3:24 AM) | Likes 0 Dislikes 0

As a health care worked, you have no clue what you're talking about. Primary care physicians especially are overworked and under paid.

11 years ago | Likes 11 Dislikes 3

...to see dozens of patients. The other days are surgery and hospital. 80 hour weeks just to make ends meat.

11 years ago | Likes 8 Dislikes 2

It also makes me, an army physician, realise how far backwards we've gone- I hate the world of super specialities, surgeons that only 1/?

11 years ago | Likes 83 Dislikes 7

Well said. And still today we have generalists that get paid far less than those specialists.

11 years ago | Likes 43 Dislikes 1

I would have loved to practice in the nascent days of modern medicine- this guy did his own anaesthetics, general surgery, obstetrics, paeds

11 years ago | Likes 18 Dislikes 2

2/ only know one operation. I love the chance to be a bit more of a generalist like this awesome dude was...

11 years ago | Likes 75 Dislikes 5

It happens in *every* discipline. As knowledge expands and techniques become more sophisticated, nobody can master many things.

11 years ago | Likes 7 Dislikes 0

Insurance and malpractice laws can be thanked for that.

11 years ago | Likes 32 Dislikes 4

Less of a problem here in the UK but medicolegal does still play a big part. NHS still has lots of issues too though.

11 years ago | Likes 3 Dislikes 0

This is one of the best posts I've ever seen here. Thanks for sharing, this was really interesting.

11 years ago | Likes 1279 Dislikes 1

Definitely.

11 years ago | Likes 2 Dislikes 0

As a medical student: I agree. It's really interesting to see how medicine was done 65 years ago.

11 years ago | Likes 3 Dislikes 0

The photography was amazing. As the parent of a two year-old girl, that picture with the parents hit hard.

11 years ago | Likes 9 Dislikes 0

Ya this was super intriguing. As a Colorado native I love the history!

11 years ago | Likes 2 Dislikes 0

I agree. The time (1948) and the place (rural CO) add to the story, but it's the man and what he does that's fascinating. Good job, OP.

11 years ago | Likes 2 Dislikes 0

But of course vaccines are bad yadda yadda—people are just so out of touch with their own reality and history it's unbelievable

11 years ago | Likes 2 Dislikes 0

When I read 1948 and "Smith" all I could think was George Orwell's 1984.

11 years ago | Likes 4 Dislikes 0

Happens to me a lot. :)

11 years ago | Likes 3 Dislikes 0

Amazing dude but "only doctor in 400 square miles" is just a clickbait way of saying "only doctor within twelve miles"

11 years ago | Likes 16 Dislikes 10

Shut up and enjoy the quality content. Content like this is becoming rare.

11 years ago | Likes 25 Dislikes 2

Umm... 12 x 12 is 144...

11 years ago | Likes 4 Dislikes 0

It's a circle of radius 11.28 miles.

11 years ago | Likes 2 Dislikes 1

Ceriani was the only doctor for just over 800 people, or roughly double the number of a modern physician. Not miraculous but very impressive

11 years ago | Likes 7 Dislikes 1

It would be 20 miles. 20 x 20 is 400

11 years ago | Likes 10 Dislikes 0

The science is weak in this one...

11 years ago | Likes 1 Dislikes 0

It's a circle of radius 11.28 miles, at the center of which he is at most 11.28 miles from anyone else for whom he is the closest doctor.

11 years ago | Likes 8 Dislikes 2

Well, that is as the crow flies. Looks like these were farms and ranches. And he walked. So no, there is no "only."

11 years ago | Likes 5 Dislikes 0

There is an only, as in "the only doctor," that being the sole way I used the word "only"

11 years ago | Likes 1 Dislikes 3

You make it sound as though being "the only doctor in 12 miles" makes what he did somehow less than impressive. Quit it.

11 years ago | Likes 2 Dislikes 1