Abstract Austin Flint, Sr, was one of the great physicians of 19th century American medicine. He was held in high praise by his colleagues both in this country and abroad. Sir William Osler called him "the Nestor of clinical medicine in this country."1(p3) Osler noted that "he was the author of an essay, one of the most classical in American medical literature, On the Self Limitation of Disease. He laid down there that a cardinal principle in the consideration of the therapeutics of a disease was knowledge of its natural history."2 Osler told his students "not one of you who takes a stethoscope into his hand but is a debtor to Dr. Flint for simplifying much that was complicated in the auscultation of the heart and lung."3 William Henry Welch, who was Flint's colleague at Bellevue Hospital, New York, noted that Flint was "the author of the textbook References 1. Osler W: The coming of age of internal medicine in America. Int Clinics 1915;4:1-5. 2. Cushing H: The Life of Sir William Osler . New York, Oxford University Press Inc, 1940, vol 1, pp 267, 511. 3. Evan AS: Austin Flint and his contributions to medicine. Bull Hist Med 1958;32:227, 232, 244. 4. Flexner S, Flexner JT: William Henry Welch and the Heroic Age of Modern Medicine . Mineola, NY, Dover Publications Inc, 1941, pp 114-116. 5. Gross SW, Gross AH (eds): Autobiography of Samuel D. Gross, MD . New York, Arno Press & New York Times, vol 2, p 160. 6. Flint A: A Treatise on the Principles and Practice of Medicine . Philadelphia, Henry Lea, 1868, pp 19, 102, 113, 116, 755, 789. 7. Jones OP: A medical student's impression. Buffalo Physician , winter 1977,p 59. 8. Whitman AF, Whitman A: A Medical Dynasty—Six Generations of Doctors Flint, 1733-1955 . Millbrook, NY, Millbrook Press, 1956. 9. Coolidge MC: History of Petersham, 1637-1947 . Petersham Hist Soc 1948;168. 10. Joy A: `I bequeath.' N Engl Homestead , (Sept 10) , 1949. 11. Bergin P: The History of the Members of the Worcester District Medical Society in Wars of the U.S. 1957, p 8. 12. Thorn GW: Austin Flint—A biographical study of a founding member. Trans Am Clin Climatol Assoc 1959;71:li, liv, lxii. 13. Flint A: Account of an epidemic fever which occurred at North Boston, Erie County, N.Y., during the months of October and November 1843. Am J Med Sci 1845;10:21-35.Crossref 14. Budd W: On intestinal fever: Its mode of propagation. Lancet 1856;2:694-695.Crossref 15. Smith D: Gerhard's distinction between typhoid and typhus and its reception in America, 1833-1860. Bull Hist Med 1980;54:368-385. 16. Sentz L: The Buffalo Medical Journal, 1845-1919. Bull Med Libr Assoc 1985;73:3. 17. Flint AF: Manual of Percussion and Auscultation: Of the Physical Diagnosis of Diseases of the Lungs and Heart and of Thoracic Aneuryism . Philadelphia, HC Lea, 1876. 18. Atwater E: Internal medicine , in Numbers RL (ed): The Education of American Physicians . Berkeley, Calif, University of California Press, 1980, pp 143-174. 19. Flint A: On cardiac murmurs. Am J Med Sci 1862;44:29-44. 20. Cassedy JH: American Medicine and Statistical Thinking, 1800-1860 . Cambridge, Mass, Harvard University Press, 1984, p 78. 21. Flint A: Medicine of the Future : An Address Prepared for the Annual Meeting of the British Medical Association in 1886 . New York, D Appleton & Co, pp 22, 27, 32. 22. Shaftel N: Austin Flint, Sr (1812-1886): Educator of physicians. J Med Educ 1960;35:1122-1133. 23. Smith D: Austin Flint and auscultation in America. J Hist Med Allied Sci 1978;33:149. 24. Musher D, Dominguez EA, Bar-Sela A: Edouard Seguin and the social power of thermometry. N Engl J Med 1987;316:115-117.Crossref 25. Feinstein A: Clinical Judgement . Melbourne, Fla, Robert E Krieger Publishing Co Inc, 1967.
Archives of Internal Medicine – American Medical Association
Published: Sep 1, 1988