2. ANDREW TAYLOR STILL (August 6, 1828 –
December 12, 1917)
Still was born in lee county,
Virginia , in 1828, the son of a
Methodist minister and
physician. At an early age, Still
decided to follow in his father's
footsteps as a physician. After
studying medicine and serving
an apprenticeship under his
father, he entered the civil war
as a hospital steward, but later
stated in his autobiography
3. that he served as a "defector surgeon."
This is consistent with US army
military medical history of the time.
Still was a typical frontier physician, having been trained
through apprenticeship, with some medical lectures
attended later. Like nearly all frontier physicians, he did
many things besides practice medicine: farming,
mechanical work, and fighting in the Civil War. His
medical practice included caring for both settlers and
American Indians.
He was also a physician & surgeon, author, inventor and
Kansas territorial & state legislator. He was one of the
founders of Baker university, the oldest 4-year college in
the state of Kansas , and was the founder of the American
School of Osteopathy (now A.T UNIVERSITY), the
world's first osteopathic medical school, in
KIRKSVILLE,MISSOURI
4. Still and his family were among the founders of
Baker university, the first 4-year university in the
state of Kansas. Between 1854 and 1856, the
general conference of the Methodist Episcopal
church appointed three commissioners, Elder
Hood, A.B. Dennis and Still's father, Abram Still,
to purchase a site for Baker University.[
5. Still was involved in selecting the
location for the site of Baker
University's first building. Along with
his brother, Still donated 640 acres of
land for the university campus, While
maintaining his medical practice,
where he treated patients afflicted
with small -pox and cholera , Still
spent 5 years building the facilities at
Baldwin city, during that time, Still
also served as a representative of
Douglas County in the Kansas
Legislature, and participated in the
abolition of slavery from the state
6. After the Civil War and following the death of three of his
children from spinal meningitis in 1864, Still concluded that
the orthodox medical practices of his day were frequently
ineffective and sometimes harmful. He devoted the next
thirty years of his life to studying the human body and
finding alternative ways to treat disease . During this period,
he completed a short course in medicine at the new College
of Physicians and Surgeons in Kansas city Missouri, in 1870.
7. Still first articulated the idea of improving medical
practice while living in Kansas in 1874. It was at that
time, he had a seminal thought: The human body
has much in common with a machine, one which
ought to function well if it is mechanically sound
Still was also one of the first physicians to promote
the idea of preventive medicine and the philosophy
that physicians should focus on treating the disease
rather than just the symptoms.
8. Still's
treatment
methods,
which
included
manipulation designed to improve circulation and
to correct altered mechanics, began to show
results. In 1889 the number of patients traveling
to see Still at his newly-founded infirmary became
so great that he was forced to stay in Kirksville,
Missouri rather than traveling to see patients. He
became busier, and people began to speak of him
with respect and understanding.
9. Spent 20 years learning and perfecting osteopathic
medicine before founding the American School of
Osteopathy. He was 65 years old when he first
opened the doors to his medical school. The plan
to build this school was strongly encouraged by
Kirksville leaders and businessmen who feared
that because of his age, Dr. Still might die at any
time without trained followers.
10.
11.
12. A.T. Still founded the first school of
The first class was 17 men and women
osteopathy
new
ranging in age from 18 to 65 by 1897,
approach to medicine - the school was
enrollment had passed 500 students
called
Unconventional for his day; Dr. Still
the
based
on
American
this
School
of
Osteopathy (now A.T. Still University)
accepted
women
and
in Kirksville, Missouri in 1892.
Americans to his school.
African
14. A.T STILL defined OSTEOPATHY
as:
that science which consists of such exact, exhaustive, and verifiable
knowledge of the structure and function of the human mechanism,
anatomical,
physiological
and
psychological,
including
the
chemistry and physics of its known elements, as has made
discoverable certain organic laws and remedial resources, within the
body itself, by which nature under the scientific treatment peculiar
to osteopathic practice, apart from all ordinary methods of
extraneous, artificial, or medicinal stimulation, and in harmonious
accord with its own mechanical principles, molecular activities, and
metabolic
processes,
may
recover
from
displacements,
disorganizations, derangements, and consequent disease, and
regained its normal equilibrium of form and function in health and
strength.
15. Dr. Still believes that by correcting problems in the
body's structure, through manipulative treatment,
the body's ability to function and to heal itself is
greatly improved. He also promotes the idea of
preventive medicine and endorses the philosophy
that physicians should focus on treating the whole
patient, rather than just the disease. Based on this
philosophy
16. Early students learned anatomy from
William Smith, M.D., a Scotsman who
had studied medicine in Edinburgh and
had become interested in osteopathic
medicine while traveling in the United
States. He was the first to receive a D.O.
degree. Still taught osteopathic medical
practice by lecture and demonstration
and through practice with his own
patients. The ASO awarded 18 diplomas
in March, 1894.
More schools opened
after the ASO, and graduates spread
around the country in private practices.
17. The contributions of
Andrew Taylor Still to
medicine are:
(1) The development of a philosophy
of medicine, which is the first and only
in existence
(2) He applied the four principles of this
philosophy to the prevention and
treatment of disease along with patient
education about nutrition and hygiene to
create the only complete practice of
medicine in existence today.
18. Structure and
Function are
The body is interrelated
a unit
Osteopathic
Philosophy
All
treatment
The body has
must
be
self- healing and applied
to
self regulating
the
Mechanisms
individual
patient All
patients are
unique, and
medical
treatment
must
be
applied
to
each patient
individually.
19. This new system promised simply to support health, which
on the surface would not seem controversial. But the end of
the 19th century was a time of multiple schools of healing,
and on the frontier there was medical competition and a
mistrust of new ideas.
21. 1918 Influenza Epidemic: D.O. physicians were first
recognized nationally for their successes during this
outbreak. Great swine flu pandemic killed 650,000
individuals in the U.S. and 40 million worldwide. This
was the “pre-antibiotic era” where weakened patients
often developed bacterial complications. Allopathic
treatment consisted of calomel to “open the bowels” and
strychnine for cardiac weakness. Osteopathic treatment
consisted of manipulative treatments such as promoting
pulmonary function, isolation, hygiene, and fluids. There
was a 0.2% mortality rate for patients treated by
osteopathic physicians, compared to a 5-15% mortality
rate for patients under allopathic treatment. Of those
patients with pneumonia, osteopathic physicians lost
10%, compared with 25-60% reported lost from
allopathic institutions.