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Isaac Buxton (6 May 1773 – 1 July 1825) was an English physician who specialised in the treatment of
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, c ...
,
consumption Consumption may refer to: *Resource consumption *Tuberculosis, an infectious disease, historically * Consumption (ecology), receipt of energy by consuming other organisms * Consumption (economics), the purchasing of newly produced goods for curre ...
and other
pulmonary disease Respiratory diseases, or lung diseases, are pathological conditions affecting the organs and tissues that make gas exchange difficult in air-breathing animals. They include conditions of the respiratory tract including the trachea, bronchi, br ...
s. In 1814 he founded an eight-bed infirmary that became the
Royal Chest Hospital The Royal Chest Hospital was a hospital in City Road, London. It operated from 1814 until 1954. History The hospital was founded by Isaac Buxton in 1814 as the Infirmary for Asthma, Consumption and other Pulmonary Diseases. At first it had onl ...
.


Early life

Isaac Buxton was born on 6 May 1773 in
Grange Walk Grange Walk is a historic road in Bermondsey in the London Borough of Southwark, in south London. It runs between Tower Bridge Road in the west and Neckinger in the east. History Described as one of the prettiest roads in Bermondsey it contai ...
,
Bermondsey Bermondsey () is a district in southeast London, part of the London Borough of Southwark, England, southeast of Charing Cross. To the west of Bermondsey lies Southwark, to the east Rotherhithe and Deptford, to the south Walworth and Peckha ...
. He was a foundation scholar at St Paul's School and then was apprenticed for five years to his brother-in-law, a seed merchant named Wrench."Isaac Buxton, 1773-1825. Founder of the Royal Chest Hospital"
by
Norah Schuster Norah Henriette Schuster FRCPath (14 July 1892 – 14 March 1991) was a British pathologist and the first woman to take the pre-clinical medical course at the University of Cambridge. She was the first woman to be appointed as a doctor at the M ...
in ''
Proceedings of the Royal Society of Medicine The ''Journal of the Royal Society of Medicine'' is a peer-reviewed medical journal. It is the flagship journal of the Royal Society of Medicine with full editorial independence. Its continuous publication history dates back to 1809. Since July 20 ...
'', April 1955, pp. 16–18.
He was probably a dissenter and may have practiced as a dissenting minister but the evidence in unclear. In 1800 he went to the
University of Göttingen The University of Göttingen, officially the Georg August University of Göttingen, (german: Georg-August-Universität Göttingen, known informally as Georgia Augusta) is a public research university in the city of Göttingen, Germany. Founded i ...
to study medicine under J. F. Blumenbach. He acquired his doctorate in 1802, with a thesis likely to have been on a study of man as a
ruminant Ruminants ( suborder Ruminantia) are hoofed herbivorous grazing or browsing mammals that are able to acquire nutrients from plant-based food by fermenting it in a specialized stomach prior to digestion, principally through microbial actions. Th ...
, a topic possibly inspired by the enthusiasm in Göttingen at the time for
comparative anatomy Comparative anatomy is the study of similarities and differences in the anatomy of different species. It is closely related to evolutionary biology and phylogeny (the evolution of species). The science began in the classical era, continuing in ...
. While there he took the medical oath. Buxton married Janet Travers, the first cousin of the surgeon Benjamin Travers.


Career

On his return to London in 1802, Buxton became dresser to
Astley Cooper Sir Astley Paston Cooper, 1st Baronet (23 August 176812 February 1841) was a British surgeon and anatomist, who made contributions to otology, vascular surgery, the anatomy and pathology of the mammary glands and testicles, and the patholog ...
at Guy's Hospital and in 1805 received his medical licence from the
Royal College of Physicians The Royal College of Physicians (RCP) is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of physicians by examination. Founded by royal charter from King Henry VIII in 1 ...
. He then spent time at the
Surrey Dispensary The Surrey Dispensary was founded in 1777 to administer advice and medicine to the poor of the Borough of Southwark and places adjacent. It was once one of the largest dispensaries in south London. History The Dispensary was founded in Montague ...
in south London where records indicate there was "no rowdiness" in his clinics. He was then elected physician to the
London Hospital The Royal London Hospital is a large teaching hospital in Whitechapel in the London Borough of Tower Hamlets. It is part of Barts Health NHS Trust. It provides district general hospital services for the City of London and Tower Hamlets and sp ...
in 1807 and began a successful practice in
New Broad Street Broad Street is one of the 25 ancient wards of the City of London. History In medieval times it was divided into ten precincts and contained six churches, of which only two, St Margaret Lothbury and All Hallows-on-the-Wall now survive: St Bart ...
. He also promoted the chest hospital in Spitalfields. In 1810 he wrote an essay on heating and ventilation for invalids, the deficiency of which he had experienced during his time in Germany. It included a case study sent in by
Edward Jenner Edward Jenner, (17 May 1749 – 26 January 1823) was a British physician and scientist who pioneered the concept of vaccines, and created the smallpox vaccine, the world's first vaccine. The terms ''vaccine'' and ''vaccination'' are derived ...
and was abstracted in a French journal. The essay features in two histories of heating and ventilating. The topic preoccupied him at a time when it was not a common concern among physicians and he tried to keep his sick rooms at a constant temperature of 60-65 degrees Fahrenheit in the winter months for any patient with a cough or consumption. In 1817 and 1818 an outbreak of fever in London's East End was causing concern at the London Hospital over the number of cases they were receiving. Buxton went back over the records of the last 70 years and compiled statistics showing the trend of admissions to the hospital from the disease. He concluded that although there had been a recent increase, the long term trend in cases was down. In 1814 he founded the Infirmary for Asthma, Consumption and other Pulmonary Diseases which subsequently became the Royal Chest Hospital. At first it had only eight beds and Buxton was its only physician for the first six years of its existence. It was located in
Union Street Union Street may refer to: United Kingdom * Union Street, Aberdeen, Scotland *Union Street, East Sussex, between Ticehurst and Flimwell *Union Street, London * Union Street, Plymouth, Devon *Union Street, Reading, Berkshire United States * Un ...
, Spitalfields, before moving to
City Road City Road or The City Road is a road that runs through central London. The northwestern extremity of the road is at Angel where it forms a continuation of Pentonville Road. Pentonville Road itself is the modern name for the eastern part of L ...
in 1849. He was elected to the Hunterian Society council in its second year but did not attend any meetings due to ill health. He retired for health reasons in 1822.


Death and legacy

Buxton died on 1 July 1825 at Grosvenor Place, in Camberwell, and was buried in
Bunhill Fields Bunhill Fields is a former burial ground in central London, in the London Borough of Islington, just north of the City of London. What remains is about in extent and the bulk of the site is a public garden maintained by the City of London Cor ...
.Isaac Buxton.
Munk's Roll, Royal College of Physicians. Retrieved 18 March 2018.
He was criticised in E. W. Morris's ''History of the London Hospital'' (2nd edit., London, 1910) for having arranged his election to the London Hospital by some sort of trick but
Norah Schuster Norah Henriette Schuster FRCPath (14 July 1892 – 14 March 1991) was a British pathologist and the first woman to take the pre-clinical medical course at the University of Cambridge. She was the first woman to be appointed as a doctor at the M ...
writes in her article on Buxton's life that she found no evidence to support that claim or other criticisms of Buxton's character.


Publications

*
Essay on the Use of a Regulated Temperature in Winter-cough & Consumption: Including a Comparison of the Different Methods of Producing Such a Temperature in the Chambers of Invalids
'. Cox, London, 1810.


References

{{DEFAULTSORT:Buxton, Isaac 1773 births 1825 deaths 19th-century English medical doctors People from Bermondsey Burials at Bunhill Fields People educated at St Paul's School, London Physicians of the Surrey Dispensary University of Göttingen alumni