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THE ETHER WAR continued

Another dispute, meanwhile, was brewing in the medical world.  Painless surgery was an unimaginable gift. Before the discovery of ether’s anesthetic properties, surgery was carried out on conscious patients, roped to operating tables to minimize movement.   Even though surgery was the only hope for saving their lives, many patients preferred death, by nontreatment or even suicide.

Physicians and surgeons were outraged that painless surgery might not be freely available to those in need.  Was it ethical to take out a patent on something so crucial to public welfare?  And could a common substance such as ether even be patented?

In fact, the patent did collapse.  Ether was ruled not to be a new compound.  It thus could not be patented.  Morton then requested an award of $100,000 from Congress for the US Army’s battlefield use of his invention, etherisation. Jackson protested.  Morton had his supporters in Congress, Jackson had his supporters.  Horace Wells (who had reentered the picture, claiming that without his failed experiment with inhaled laughing gas, neither Jackson nor Morton would have thought of using ether as an inhalation anesthesia) had his supporters.  A new claim was made on behalf of southern physician Crawford Long who had, without realizing the significance of his experiment, documented the use of ether in minor surgery before either Jackson or Morton. 

The matter was investigated, it was debated, it was submitted and resubmitted and finally, never determined.  

Horace Wells died an early suicide after becoming addicted to an even newer anesthetic, chloroform. 

Crawford Long had no interest in pursuing his claim in a political or public forum.  He enjoyed a long and useful career as a practicing physician in Georgia.

William Morton continued to petition, to file lawsuits, to lecture.  In the summer of 1868, outraged by an article in the Atlantic Monthly which gave full credit for the invention of ether to Jackson, a debt-ridden Morton traveled to New York, then in the middle of a deadly heat wave, where he died of “congestion of the brain,” age 48.

Charles Jackson, cushioned by his family inheritance, continued to work as a chemist and a surveyor.  In 1873, at age 67, after suffering a seizure, he was diagnosed as insane and taken to McLean Asylum, a part of Massachusetts General Hospital.  He spent 7 years at McLean, dying there in 1880.  

And the winner is…? 

William Morton has won the vote of most modern medical historians and anesthesiologists, who believe that the historical evidence is overwhelmingly in his favor.  According to the Boston History Collaborative, although Morton certainly built on the work of others and leaned on the advice of Jackson, it was his “bold demonstration [that] opened the floodgates for surgical procedures that provided the groundwork for new lifesaving surgeries.”

Charles Jackson’s supporters, led by his sister Lidian Jackson Emerson, never gave up the fight on his behalf.  Jackson’s niece Edith Emerson Forbes may be responsible for the wording of the plaque that can be found today in Plymouth’s Brewster Garden
Dedicated to the memory of Lidian Emerson, wife of Ralph Waldo Emerson of Concord, daughter of Charles and Lucy Cotton Jackson of Plymouth, and of her brother Charles Thomas Jackson, M.D., discoverer of the safe method of using ether for anaesthesia in surgery.

William T. Davis, in his Plymouth Memories of an Octogenarian, characterizes his fellow Plymouthean gently 
He [Jackson] knew too much, and too many things for him to develop, and by his own labors to apply to practical use.   His mind was like a garden so crowded with vegetation of his own planting that none or few reached perfect bloom and seed.  But the passerby attracted by one or another, though ignorant of botany, would pluck a slip or a root, and setting it in his own grounds, by unremitting care nurse it into vigorous growth and a perfected life.  Without the garden which the gardener had planted, the passerby would never have found the plant, and without the act of the passerby the plant would have died and the labors of the gardener would have been in vain.

The Ether Monument, unveiled in Boston's Public Garden in 1868, gives no credit at all.  The granite statue atop the 40-foot obelisk is a representation of the Good Samaritan comforting the afflicted.

Sources : 
Sources held in Pilgrim Hall Museum’s Library include Charles T. Jackson’s First report on the geology of Maine (Augusta, Me. : The State, 1837), Martin Gay’s A statement of the claims of Charles T. Jackson, M.D. to the discovery of the applicability of sulphuric ether to the prevention of pain in surgical operations (Boston, 1847),  William T. Morton’s Report to the House of Representatives on sulphuric ether (Washington, DC : The Congress, 1852), Edward Waldo Emerson’s A history of the gift of painless surgery (Boston : Houghton, Mifflin and Co. , 1896), and Delores Bird Carpenter’s The selected letters of Lidian Jackson Emerson (Columbia, Mo. : University of Missouri Press, 1987). The contemporary arguments on behalf of both Morton and Jackson - along with a flavor of the intense controversy the issue generated in the 1840’s - can found found in the pages of Littell’s Living Age Magazine, online at Cornell University’s Making of America Website (cdl.library.cornell.edu/moa), which makes available the text of over 100,000 19th century journal articles.  Other sources used include the Internet sites of the Harvard Medical School Department of Anesthesia (www.hmcnet.harvard.edu), the UCLA School of Dentistry (www.dent.ucla.edu), the Alabama State Society of Anesthesiologists (www.assa.md) and New Brunswick  (Canada) Community College (www.saintjohn.nbcc.nb.ca).

For a wonderful modern retelling of the story of Morton, Jackson et al, read Ether day : the strange tale of America’s greatest medical discovery by Julie M. Fenster (HarperCollins Publishers, c2001)

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Updated 18 May, 2005