Adapted from Hall, J. N. "Clayhill Parkhill, Anatomist and Surgeon" in Annals of Surgery (May 1902; 35(5): 674-678)

The surgery of America in those days was still in the masterly grasp of those great surgeons who, in the bloodiest war of modern times, had advanced their profession to an enviable position. In practically every city of the land, the leading surgeon was a man who, after Antietam, Gettysburg, and Cold Harbor, had amputated, perhaps, scores of limbs in a single day. The young man thirsting for a place in surgery, stood no chance in the race with men whose operative work in a single day had exceeded all that he might hope to do in ten years.

As a result, the surgery of the country in 1885 was in the hands of men already getting past middle age, and not easily adaptable to new things; as fine a class of surgeons, nevertheless, as ever honored the profession of any country.

Meanwhile the times had changed. Under the stimulus of the work of Lister, antiseptic surgery had been born. The older men watched the younger ones as they fearlessly invaded field after field upon which they had never dared to tread, and they hesitated in their work. The knowledge of bacteriology had been their undoing. A few of these men, conspicuously Keen, of Philadelphia, and Conner, of Cincinnati, adapted themselves to the new order of things; the great majority of them were crowded out by the younger men.

And had these excellent men, thus crowded out of their field of activity, done nothing for surgery? Let us look briefly at their work. After one of the great battles, perhaps 100 amputations were performed. Experience had taught them that in the serious wounds of the extremities, without amputation, 75 percent died; with immediate amputation, 75 percent lived. In other words, amputation avoided fifty deaths in each 100 cases, chiefly from septicemia, pyxemia, erysipelas, secondary hemorrhage, and hospital gangrene. But the new surgery made unnecessary most of these amputations, practically annihilated all these causes of death, and yet saved most of the limbs. Competition under these circumstances was out of the question.

The older men then stepped aside so far as operative surgery went; but the magnificent knowledge of non-operative surgery which these men had attained, executive ability of the first order, and the power of handling large bodies of men, left them still invaluable to the profession and the world. As an illustration of this point, note that as the great railroads pushed westward, almost every one had as chief surgeon one of these able men. Mercer of the Union Pacific, Livingston of the Burlington, and Bancroft of the Denver and Rio Grande, may serve as examples. During the transition period of which I speak, although the young men carried on their operative work independently, they continually sought the counsel of these older men in broad surgical questions, in their fractures and dislocations, and in many other non-operative parts of the field of surgery for which an incomparable experience had so magnificently fitted them.

Adapted from "The Memorable Assassination" in What is Man? And Other Essays by Mark Twain (1906)

The more one thinks of the assassination, the more imposing and tremendous the event becomes. The destruction of a city is a large event, but it is one which repeats itself several times in a thousand years; the destruction of a third part of a nation by plague and famine is a large event, but it has happened several times in history; the murder of a king is a large event, but it has been frequent.

The murder of an empress is the largest of all large events. One must go back about two thousand years to find an instance to put with this one. The oldest family of unchallenged descent in Christendom lives in Rome and traces its line back seventeen hundred years, but no member of it has been present in the earth when an empress was murdered, until now. Many a time during these seventeen centuries members of that family have been startled with the news of extraordinary events—the destruction of cities, the fall of thrones, the murder of kings, the wreck of dynasties, the extinction of religions, the birth of new systems of government; and their descendants have been by to hear of it and talk about it when all these things were repeated once, twice, or a dozen times—but to even that family has come news at last which is not staled by use, has no duplicates in the long reach of its memory.

It is an event which confers a curious distinction upon every individual now living in the world: he has stood alive and breathing in the presence of an event such as has not fallen within the experience of any traceable or untraceable ancestor of his for twenty centuries, and it is not likely to fall within the experience of any descendant of his for twenty more.

Time has made some great changes since the Roman days. The murder of an empress then—even the assassination of Caesar himself—could not electrify the world as this murder has electrified it. For one reason, there was then not much of a world to electrify; it was a small world, as to known bulk, and it had rather a thin population, besides; and for another reason, the news traveled so slowly that its tremendous initial thrill wasted away, week by week and month by month, on the journey, and by the time it reached the remoter regions there was but little of it left. It was no longer a fresh event, it was a thing of the far past; it was not properly news, it was history. But the world is enormous now, and prodigiously populated—that is one change; and another is the lightning swiftness of the flight of tidings, good and bad. "The Empress is murdered!" When those amazing words struck upon my ear in this Austrian village last Saturday, three hours after the disaster, I knew that it was already old news in London, Paris, Berlin, New York, San Francisco, Japan, China, Melbourne, Cape Town, Bombay, Madras, Calcutta, and that the entire globe with a single voice, was cursing the perpetrator of it. Since the telegraph first began to stretch itself wider and wider about the earth, larger and increasingly larger areas of the world have, as time went on, received simultaneously the shock of a great calamity; but this is the first time in history that the entire surface of the globe has been swept in a single instant with the thrill of so gigantic an event.