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."
BammiebamMars
Thank OP!! Would've been awesome meeting Dr. Ceriani..
GulDukatja
+1 for cat tax
80000D
Now that's a doctour right there!
Mentat70
We don't bind broken ribs anymore. It can cause pneumonia. Great post!
hawkeye9900
They still do the ear wax removal thing. It's just a syringe (no needle) full of warm water, used to flush it out.
pallentx
crazy
Superted1612
Logged in to up vote and fave. So happy it was a big photo album.
petrovpoo
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".
TheAnswerIsAlwaysYuengling
The Great Influenza is an AMAZING book if you want to learn about early American medicine. It's crazy how far we've come.
wastycakes
Excellent post. I wonder what happened to the little girl who got kick by a horse...
PeachesForMiles
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.
wastycakes
Thank you!!! I was so moved by that picture. The worried look on Doc's face, the girl's clinched eyelid.
leversandpulleys
Thank you so much for sharing that.
bluecobalt
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.
ImmortalSquid
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
BigIrishGuy
Just... wow. +1
walterpeck
I've been to Kremmling, Colorado. Talk about a long haul to Denver, even today. In 1948 it probably took all day.
saikaici
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.
tacoburrito
truth. Moffat tunnel would have been nice back in the day
ChairmaamMeow
What a beautiful and uplifting post! Thank you so much for sharing, OP!
firesail
As a medical student, thank you! It's awesome to see how far we've come.
thecakeisaspy
How many housecalls have you made so far?
firesail
6 or so. 3 in costa rica as college student, 3 here in NJ as a med student.
GREEENeyedMONSTIR
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
Jbravo80085
Shut up Derek
jesswarby
I have moments like this as a student photographer, but get inspired. Do some history research and get excited again!
excepttheoneswhoaredead
This is so amazing. My grandfather was a doctor at the same time, with the Navy in Japan though.
TheodoreMcdade
I would love to hear about some of his experiences as a doctor, in Japan, back then.
excepttheoneswhoaredead
he's lost his mind over the past few years... he adopted his first daughter from Japan though
shastatm
I don't know why but the brutal beauty of this moved me to tears. Holy shit thanks for sharing.
AdAstra16b
The look in his eyes as he hokds his coffee cup... I dont think he was even aware he was holding it.
ashleypomeroy
I've always liked Eugene Smith. He was a great documentary photographer without an ounce of sentimentality and tonnes of subtle technique.
CanadiansWilllRule
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.
ThatRussian
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.
Aaaargh
I was wondering, what was his name again?
therealBobKelso
If only more posts were like this, Imgur would be such an amazing place.
artintel
Imgur is amazing, but I know what you're trying to say.
halfacroissantisbetterthannone
I have been wondering why our world has been ...changing... there was a time when men and women like Ceriani were more commonplace -
Longbeard7
This reminds me of A Young Doctor's Notebook. Amazing show with Elijah Wood and John Hamm.
PrisonerofAzkaban
This is the type of doctor I want to become...what a badass
Bendoger
Have you ever seen Royal Pains? The Doctor on the show is sort of a modern day version of this, albeit on Long Island.
hiimmat
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
PrisonerofAzkaban
You assume I'm American. And yes these doctors do exist, especially in rural areas.
hiimmat
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 -
chrisMcL
Great images; especially the one of the doctor carrying his patient before leg amputation and the one of him with ciggie and coffee.
koinuchan
Even 1948 had Cat Tax.
AZRAELSBLADE
As a physician we are no longer permitted to just carry around morphine and ether in our black bags. Just fucking computers.
hiimmat
Fucking managed care bullshit.
ThatRussian
My dentist refused to give me cocaine tooth drops :( said we use novocaine nowadays instead. I was so disappointed.
Fleecemaster
What about regular computers?
chunes
What do you mean 'permitted?' There is no higher authority on medicine than a doctor. You need to rebel.
AZRAELSBLADE
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
AZRAELSBLADE
Insurance companies, federal and state governments, medical boards... The list goes on
Eldstar
I am loving the historical pictures on here lately
redabby
this is wonderfu! Wonder if he's still around.
PaintwithLight
It's so crazy that this man had to do literally every specialty from surgery to pediatrics by himself. Medicine has changed a lot.
Dawnstempest
That's what being a Doctor meant -- being able to treat sick people, regardless of what was wrong with them.
artintel
Or triple checking their insurance coverage.
hiimmat
Insurance pays the bill - would you work for free?
Dawnstempest
Or getting sued for doing nothing wrong.
VodkaReindeer
It's a bit ridiculous that he's doing the ear irrigation even though there's a nurse around.
Eowyneb
Nurses where there to assust not do prosigers
DocCinnanym
Docs still perform this procedure in a lot of places.
RateMyGrandma
No they dont
VodkaReindeer
These days nurses do all the ear irrigations. Even USA is not so insane as to have MDs doing it, right?
BambiSkater
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
PaintwithLight
Rural doctors, however, are still very jack-of-all-trades even today. Some places are quite isolated from big hospitals.
BruceSillyWalks
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
DarkCrawler901
Another reason for universal healthcare. Standardized pay. Still need to go to bigger cities for cancer, brain surgery and such ofc.
BruceSillyWalks
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?
DarkCrawler901
Well uh...people, including doctors, are born in boonies too. Some actually work and live where they were born and raised...
TheMexicanThatCould
Some people like the nice countryside compared to a bustling city. Living expenses also cost much less in the country
DocCinnanym
Not so true. Rural areas can be lucrative, but the medical establishment, oddly, discourages rural practice in favor of academic setting.
RateMyGrandma
No it doesnt
wingod
That is amazing. Also makes me realize how far we have gone in the medical world. +1 just beautiful.
GroundUpMoonRocksArePurePoison
And how far we can go in the future..
SomebodyStoleMyCarRadio
What it was like to be a rural doctor in Russia in 1917:
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rocklobstr0
As a health care worked, you have no clue what you're talking about. Primary care physicians especially are overworked and under paid.
Caddy15
...to see dozens of patients. The other days are surgery and hospital. 80 hour weeks just to make ends meat.
monglet
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/?
leversandpulleys
Well said. And still today we have generalists that get paid far less than those specialists.
monglet
I would have loved to practice in the nascent days of modern medicine- this guy did his own anaesthetics, general surgery, obstetrics, paeds
monglet
2/ only know one operation. I love the chance to be a bit more of a generalist like this awesome dude was...
ByThePowerOfSCIENCE
It happens in *every* discipline. As knowledge expands and techniques become more sophisticated, nobody can master many things.
wingod
Insurance and malpractice laws can be thanked for that.
monglet
Less of a problem here in the UK but medicolegal does still play a big part. NHS still has lots of issues too though.
BirdAndBearAndHareAndFish
This is one of the best posts I've ever seen here. Thanks for sharing, this was really interesting.
LeftHandPanda
Definitely.
Sturmfeuer
As a medical student: I agree. It's really interesting to see how medicine was done 65 years ago.
Petedogs
The photography was amazing. As the parent of a two year-old girl, that picture with the parents hit hard.
BrightStarEm
Ya this was super intriguing. As a Colorado native I love the history!
imhoots
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.
Snarkoleptic
But of course vaccines are bad yadda yadda—people are just so out of touch with their own reality and history it's unbelievable
NipplesInAJar
When I read 1948 and "Smith" all I could think was George Orwell's 1984.
WinstonSmithMinistryOfTruth
Happens to me a lot. :)
causality
Amazing dude but "only doctor in 400 square miles" is just a clickbait way of saying "only doctor within twelve miles"
TurboTaco92
Shut up and enjoy the quality content. Content like this is becoming rare.
LeighaBeans
Umm... 12 x 12 is 144...
causality
It's a circle of radius 11.28 miles.
causality
Ceriani was the only doctor for just over 800 people, or roughly double the number of a modern physician. Not miraculous but very impressive
LeighaBeans
It would be 20 miles. 20 x 20 is 400
Aaaargh
The science is weak in this one...
causality
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.
BirdAndBearAndHareAndFish
Well, that is as the crow flies. Looks like these were farms and ranches. And he walked. So no, there is no "only."
causality
There is an only, as in "the only doctor," that being the sole way I used the word "only"
BirdAndBearAndHareAndFish
You make it sound as though being "the only doctor in 12 miles" makes what he did somehow less than impressive. Quit it.