!...i.'..l!,i'::il!-i',li ;!^:;:fi!|l|:iiii|lfSi;il!i5!:|f;'fe:^,it^': SJ£ 7,'' III",!.,' :'i''.,4M!':,ilt'i''i:it;i;i-ii1i':'ii" -;ti;! ■■ ,.': ' !>",:,■, • iiji;!: :' {■ '■ I '<'L +:^m. Surgery, by Richard S. Ki—am. M. 1)." Fee for the whole of the above course £20. Practical anatomy $10. Lectures on various topics are also announced. The next winter I find no notice of the school, but medical instruction is given in the same locality by Drs. Kissam and Quackenuoss, and in 1845 Dr. Kis- sam announces a course of lectures on surgery, free to all medical students, to be delivered daily from the first of November to March, at "his lecture-room;1 At this time he was elected Professor of Surgery to the Cnstleton Medical College, with a salary of $1,000 for the course of lectures. This sum, with the fees for professional services always attendant upon a city physicians temporary visit into the interior, added to KULOOY. 13 the necessary increase of reputation, was some induce- ment to Dr. Kissam for its acceptance; but the loss to his own practice, necessarily attendant upon his absence for four months, together with a constant hoarseness, increasing painfully upon prolonged speak- ing, and always interfering with his efforts as a pub- lic speaker; upon reflection, notwithstanding that the course of lectures had been fully written out, in- duced him to forego the advantages of this honor- able opportunity. Xot idle, however, the doctor used his leisure in preparing a " Xurses' Manual,'1 which met with suc- cess, but is now out of print. In 1842 Dr. Kissam perfected an instrumental chair for the treatment of spinal diseases, which, however great was its excellence and advance upon previous knowledge, has since been superseded by more recent discoveries. I allude to it mainly for the purpose of showing the mechanical character of his mind, with- out which the sphere of the surgeon is greatly limit- ed. The thought given to the subject is evident from a series of papers upon the Nature and Treatment of Spinal Diseases, published in the New Yorh Lancet for 1842. In 1845, Dr. McAuley, in a card to his patients, stated that his health was such as to prevent him from attending to his professional calls, and recom- 14 EULOGY. mended " Dr. Kissam as a physician in whom they may repose entire confidence." In 1847 Dr. Kissam was appointed the Medical Examiner of the Connecticut Mutual Life Insurance Company (New York Agency) which responsible position he held till his death. The flourishing con- dition of this institution is in no slight degree owing to his perspicacity and professional skill. In 1850 the honorary degree of A. M. was conferred upon him by his old alma mater, Trinity. The honorary LL. D.'s have been sprinkled about upon those less worthy, and less erudite. In 1854 he was appointed consulting surgeon to the New York Infirmary for indigent women ain} children, and the managers of this beneficent institu- tion, in their annual report, " while expressing their regret at his loss, gratefully acknowledge the steady kindness and skill of the services which he so long rendered the institution in that capacity.11 Dr. Kissam joined this Academy among the earliest of its members, was for many years the chairman of its Board of Trustees, and represented it at one or more of the meetings of the National Medical Con- vention. We have thus sketched the public career of our departed fellow. This was short, and little conspic- uous, for, modest in his estimate of himself, naturally EULOGY. 15 retiring, avoiding rather than seeking conspicuity, his affectionate nature developed itself in the sanctity of his own home, and in the bosom of families of a nature akin to his own, who found in him the pu- issant physician and the genial, sympathizing friend. Brief, however, as is the record of his public actions, more curt still must be the summary of his home life. In it there are no startling incidents, scarce any thing to interrupt the account of a placid life, hallowed by domestic joys. A congenial wife was there, ready with heartfelt sympathy to foster every plan of duty or pleasure ; and children, whose personal beauty, ami- able, affectionate dispositions and cultivated minds, sweetened every toil, dissipated corroding cares, and nerved the weary to fresh exertion. This routine of daily joys was broken only in a few instances. The death of an infant son, Busiknell Kissam, in 1839, was the first interruption to his domestic felicity ; but a heavier blow was experienced in the decease of his eldest son, R. S. Kissam, Jr., a young man, in person markedly resembling his father, and of many individ- ual excellencies, promising to develop into a notable manhood. After a short illness he died in Paris, whith- er he had gone to finish his medical education. From this stroke the father never recovered, while its imme- diate effect was remarkable. His black, curly hair, from thence became sprinkled with silver, he stood 16 EULOGY. less erect, and his peculiar step became less secure and steadfast. Men said that he was breaking, but it was at the heart that the first giving way was effected. It was after this period that my own intimate ac- quaintance commenced. Previous indeed to that, I had seen him and listened to his infrequent, brief, but always point- ed remarks at the Academy, for, perhaps owing to a slight indistinctness in his utterance, he spoke but rarely. I Mas unusually deceived by his appearance. He had a bright, dark eye and clean-cut features. He was exquisitely neat in his attire and elegant in his manners. Doctors are not apt to be such finished gentlemen, nor was such courtesy frequent in the Academy. He was so handsome and of such a del- icate type of manly beauty, that in my prejudice I imagined him weak. I could not have been more mistaken. I never was so deceived in my estimate of a man. Subsequent opportunities for an intimate study of his character and attainments, altered my views, and I question if, as a general practitioner of both medicine and surgery, he had a superior in the city. I certainly do not know of one. Well read in the literature of his profession, skilled in the arts of diagnosis, fertile in resources, quick in observa- tion, rapidly grasping the salient points, studiously and thoroughly noting the details, cool in temper, EULOGY. IV steady in nerve, no man brought better resources to the bedside of the afflicted. He knew that he knew what he knew; and more important still, he knew that he did not know what he did not know. Condensed and deficient as is this sketch of the personal peculiarities of our late fellow, I cannot re- frain from alluding more distinctly to that most dis- tinguishing feature in his character, already hinted at, which acted as the balance-wheel of his whole life. The ever-living, extreme sensitiveness of Dr. Kissam, acute to a degree rarely witnessed, was conspicuously present in every act, and this was no morbid devel- opment. It was based upon simple honesty, and that rule, so easily committed by the lips, so hard to be learned by heart: " To do to others as we would that they should do to us." It was this simple rule, rooted into the life, that prevented a man of nat- urally strong feelings from ever speaking injuriously of another from the ambition of office, "when there are so many better capable of filling it than I," as he more than once said to me when speaking of dignities in this Academy. It is this precept, so simple, yet so hard to learn, so important as to be deemed alone worthy of the mission of the Son of God to his be- loved children of earth—that now renders the honest lips of the members of this Academy, his associates in our notoriously quarrelsome profession, incapable 3 18 EULOGY. of saying that their own feelings were ever wounded by a breath from his lips, or that they ever heard him speak ill of another. Would to God that we, one and all, might emulate this so rare excellence! During the spring of 1861, his health markedly failed, and with weakness of body he became irri- table, and the iniquitous proceedings which ushered in the internecine strife which yet rages undimin- ished, greatly excited him. He could not read or speak upon the matter without great and prolonged excitement, and could scarcely refrain, weak as he was, from volunteering and offering his time and talents to his country. His only son he sent in his place, who, when the father lay upon the sick-bed and stark in death, at the age of sixteen, was, as a corporal, gallantly serving his country. During the summer he spent a week in the vicini- ty of Washington, nursing this son sick with typhus, and this respite from toil, and the change of air and scene, seemed to have exerted a most beneficial influ- ence upon him; but the hopes thus encouraged for a restoration to health, were too speedily forever dis- sipated; for on the 22d of Noveniber he was seized with typhoid-pneumonia, and early became aware of his critical condition. Still, not till after he had visited the most important of his patients that day, did he take to his bed and send for the medical at- EULOGY. 19 tendance which his friends (Drs. Aloxzo Clark, A. K. Gardner, and subsequently Valentine Mott) hastened to render him. In the progress of this his final illness, there was little peculiar. The disease did not advance beyond the congestive stage, but from its incipiency, great stimulation was found re- quisite to overcome the prostrating influences of the malady. He died at noon on the 28th. Some of the incidents of that death-bed are worthy of record, inasmuch as they exemplify the character of the individual, the traits of a true physician and the hio-hest attributes of humanity. Recognizing, from the outset, the serious character of his illness, and conscious that his enfeebled con- stitution would illy resist severe disease, particularly if prolonged, he unconsciously, perhaps even to him- self, accepted his condition with resignation. Not to any but to his wife and daughter did he mention even the possibility of the disease being fatal, or make any reference to the coming change of the animal life to the spiritual one. To the former he said, on the day that he was taken ill, that he should not re- cover. There seemed only to be a fear of delirium, and an evident effort to preserve the command of his intellect unimpaired, and with such success that up to his last breath he spoke with the utmost correct- ness. Soon after his attack there was considerable 20 EULOGY. difficulty iii enunciating, and his natural indistinctness of articulation was so increased, that even to the most attentive ears of loved ones familiar with his tones, his meaning was often lost. It was painful, when during the last twenty-four hours the death- rattle made his imperfect articulation observable even to himself, it was painful to hear him patiently spell the doubtful words, devoting to each letter one of his few remaining breaths and a perceptible por- tion of his little remaining strength. The ever-present consideration for the feelings of others, and the untiring willingness to submit to any personal inconvenience in order to please, how much more to materially benefit, those near and dear to him, was exemplified in Dr. Kissam, when death had already seized him with his icy grasp, and of this I record an illustration. His eldest daughter, sum- moned by the telegraph, had arrived, and anxiously had suggested, that some thick gum-water, prepared in a certain manner, and which had often relieved her own children rattling with a croupy cough, might do some good. Knowing the extreme difficulty Dr. Kissam experienced in swallowing, and the absolute inertness of the proposed draught, I had said as much ; but the loving daughter, hoping against hope, turned to her gasping father, with overflowing eyes, and said, "Won't you try it, father 2" Upon re- EULOGY. 21 ceiving an answer of assent, she hurried from the room to prepare it, when the doctor turned as if to apologize to me for overruling my decision, and said, " It is perfectly useless, but it will please Julia," and when it was prepared, with a great effort he raised himself upon his elbow, seized the cup with a trem- ulous hand, and after repeated efforts drank its con- tents. What a contrast to the animosity, malignant spirit or sullen indifference marking the last hours of some ! And such actions were the habit of his life, not the accidental promptings of an evanescent emotion! Two nights before his death, deeply interested in the fate of the nation, he asked me the news. Feeling that absolute quiet of both mind and body was all- important, I briefly gave him a summary of some skirmish reported in the evening papers, sayino- to him, as I left, that with this condensed account he might rest quiet until the morning brought par- ticulars ; but he spent two hours, till one a. m. for himself reading the more extended account in the Po«t. Dr. Kissam watched his own case with the same careful observation which he manifested throughout his professional career. During the night before his death, he sought with tremulous finger and ill-direct- ed hand, to feel his own pulse, and noted its rapid, irregular and feeble beatings; raised his hands, al- 22 EULOGY. ready damp and cold with the chill of death, to his dimmed eyes, noted the blueness of the nails, and said to me, " I shan't last more than an hour." Several hours later, after being revived by increasing amounts of stimulants, he repeated this self-examination and feebly articulated, " I was mistaken this morning, but I shall be dead in half an hour." Shortly after Dr. Mott came in, he recognized him, and we retired for a short time. When we returned, he was tranquilly lying upon one side, and I said, " Dr. Mott thinks it desirable for you to take some carbonate of ammonia; are you willing to do so V He opened his eyes, said " yes." Dr. Mott immediately turned, left the room and descended to the ground-floor, I following. We had scarcely reached it, when a sudden scream that " father is dead," speedily recalled us. It was so, and thus calmly and rapidly was the transition from time to eternity accomplished. The subsequent special meeting of this Academy, called to take action upon the death of one of its chief officers, the resolutions adopted, the attendance in a body at his funeral, are duly chronicled in its proceed- ings. Few who were then present, will ever forget the church, crowded Avith his friends and his late patients, with tear-filled eyes looking their last upon him through whose skill and devotion they had been in past years kept from the grave, whither they were EULOOY. 23 now about to conduct him, and by us, his associates in the profession and this Academy, who in solemn procession had followed his remains through the streets—whose Sabbath stillness was disturbed by the clatter of our footsteps—and up the long-draAvn aisle, while the organ sounded the requiem of the dead. The affectionate father, the esteemed friend, the cherished physician, the erudite scholar, the upright man, our honored felloAV, has gone before us. He whose facile pen but so lately described the last ill- ness of his friend, our late honored President, Dr. Jonx* W. Francis, and A\Tiose lips, from this desk, ut- tered those words of affection, now, in turn, requires the same services from another. Fortunately, his own spotless life, running through more than fifty years, unsullied by an unfriendly, unprofessional, irreligious act, supplies the deficiencies of the appointed eulogist. When our books shall be written up, and we haA^e gone to our great account, may our friends find as few blots, as few entries upon the wrong side, Avhich we Avould, then too late, gladly erase, and may the trial-balance stand as assured before the All-Seeing Eye. Stat sua cuique dies, breve et irreparabile tempus. Omnibus est citca / sedfamam extcndere fact is. Hoc virtutis opus. tiff < ;, "i>: i^;: >• .a*