John Blackall
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John Blackall (24 December 1771 – 10 January 1860) was an English physician.


Early life

John Blackall was the sixth son of the Reverend Theophilus Blackall, a
prebendary A prebendary is a member of the Catholic Church, Catholic or Anglicanism , Anglican clergy, a form of canon (priest) , canon with a role in the administration of a cathedral or collegiate church. When attending services, prebendaries sit in part ...
of
Exeter Cathedral Exeter Cathedral, properly known as the Cathedral Church of Saint Peter in Exeter, is an Anglican cathedral, and the seat of the Bishop of Exeter, in the city status in the United Kingdom, city of Exeter, Devon, in South West England. The presen ...
, by his wife Elizabeth Ley, and grandson of
Bishop A bishop is an ordained member of the clergy who is entrusted with a position of Episcopal polity, authority and oversight in a religious institution. In Christianity, bishops are normally responsible for the governance and administration of di ...
Ofspring Blackall Ofspring Blackall (26 April 1655 (baptised) – 29 November 1716), Bishop of Exeter and religious controversialist, was born in London. Early life and education Baptized on 26 April 1655 at St Gregory by Paul's, he was the son of Thomas Black ...
, was born in St. Paul's Street,
Exeter Exeter ( ) is a City status in the United Kingdom, cathedral city and the county town of Devon in South West England. It is situated on the River Exe, approximately northeast of Plymouth and southwest of Bristol. In Roman Britain, Exeter w ...
on 24 December 1771. He was educated at
Exeter grammar school Exeter School is a Private schools in the United Kingdom, private co-educational day school for pupils between the ages of 3 and 18 in Exeter, Devon, England. The younger year groups are based at Exeter Pre-Prep School in Exminster, which was pr ...
, and then studied at
Balliol College, Oxford Balliol College () is a constituent college of the University of Oxford. Founded in 1263 by nobleman John I de Balliol, it has a claim to be the oldest college in Oxford and the English-speaking world. With a governing body of a master and aro ...
, as a member of which he graduated
B.A. A Bachelor of Arts (abbreviated B.A., BA, A.B. or AB; from the Latin ', ', or ') is the holder of a bachelor's degree awarded for an undergraduate program in the liberal arts, or, in some cases, other disciplines. A Bachelor of Arts degree ...
in 1793,
M.A. A Master of Arts ( or ''Artium Magister''; abbreviated MA or AM) is the holder of a master's degree awarded by universities in many countries. The degree is usually contrasted with that of Master of Science. Those admitted to the degree have ...
in 1796, M.B. in 1797, and
M.D. A Doctor of Medicine (abbreviated MD, from the Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of physician. This ge ...
on 2 March 1801.


Career

Immediately after taking his first degree he applied himself to the study of medicine at
St Bartholomew's Hospital St Bartholomew's Hospital, commonly known as Barts, is a teaching hospital located in the City of London. It was founded in 1123 by Rahere, and is currently run by Barts Health NHS Trust. History Early history Barts was founded in 1123 by ...
, and it was in its wards, while working as the clinical clerk of Dr. John Latham, that he made the observations on
albuminuria Albuminuria is a pathological condition of elevated albumin protein in the urine (often measured as urine albumin-to-creatinine ratio of >30 milligrams of albumin per 1 gram of creatinine per day). It is a type of proteinuria, and is the most com ...
which were afterwards stated and enlarged in his treatise on dropsies. In 1797 he settled in his native city, and on 1 June in that year was chosen physician to the
Devon and Exeter Hospital The Royal Devon and Exeter Hospital (commonly referred to as RD&E), and with a main site sometimes known as Wonford Hospital, is a large teaching hospital situated in Exeter, Devon, England, and is run by the Royal Devon University Healthcare NH ...
. At this period, however, the medical practice of Exeter was engrossed by Dr. Hugh Downman, Dr. Bartholomew Parr, and Dr. George Daniell, and in 1801 Dr. Blackall resigned his appointment at Exeter, and settled at
Totnes Totnes ( or ) is a market town and civil parish at the head of the estuary of the River Dart in Devon, England, within the South Devon Area of Outstanding Natural Beauty. It is about west of Paignton, about west-southwest of Torquay and ab ...
, where he became the physician of the district. His reputation increased, and in 1807 he returned to Exeter, where he was a second time elected physician to the Devon and Exeter Hospital, and in 1812 was appointed physician to St. Thomas's Lunatic Asylum. In 1813 he published his well-known ''Observations on the Nature and Cure of Dropsies,'' London, 8vo, of which there are four editions, and which entitles its author to a position among medical discoverers. Dropsy is the morbid effusion of the serum of the blood into the cavities of the body and into the meshes of its tissues. It had been observed from the beginning of medicine, but up to the time of Richard Lower nothing was known of its morbid anatomy. He made the first step, which was the demonstration that dropsy of a limb always follows direct obstruction of its veins. Blackall's discovery came next, and was that dropsy is often associated with the presence of
albumen Egg white is the clear liquid (also called the albumen or the glair/glaire) contained within an egg. In chickens, it is formed from the layers of secretions of the anterior section of the hen's oviduct during the passage of the egg. It forms aro ...
in the
urine Urine is a liquid by-product of metabolism in humans and many other animals. In placental mammals, urine flows from the Kidney (vertebrates), kidneys through the ureters to the urinary bladder and exits the urethra through the penile meatus (mal ...
. His treatise states clearly the relation between albuminuria and dropsy, and shows that he suspected that the
kidney In humans, the kidneys are two reddish-brown bean-shaped blood-filtering organ (anatomy), organs that are a multilobar, multipapillary form of mammalian kidneys, usually without signs of external lobulation. They are located on the left and rig ...
s were diseased in these cases. The further discovery of Richard Bright in 1836 of the constant relation between
renal disease Kidney disease, or renal disease, technically referred to as nephropathy, is damage to or disease of a kidney. Nephritis is an inflammatory kidney disease and has several types according to the location of the inflammation. Inflammation can b ...
and albuminuria is based upon the observations first made by Blackall. Blackall also published in 1813 some observations on
angina pectoris Angina, also known as angina pectoris, is chest pain or pressure, usually caused by insufficient blood flow to the heart muscle (myocardium). It is most commonly a symptom of coronary artery disease. Angina is typically the result of part ...
, a disease then much discussed, owing to
William Heberden William Heberden FRS (13 August 171017 May 1801) was an English physician. Life He was born in London, where he received the early part of his education at St Saviour's Grammar School. Full text at Internet Archive (archive.org) At the end of ...
's writings upon it. Blackall was admitted candidate of the
Royal College of Physicians The Royal College of Physicians of London, commonly referred to simply as the Royal College of Physicians (RCP), is a British professional membership body dedicated to improving the practice of medicine, chiefly through the accreditation of ph ...
on 22 December 1814, and a fellow on 22 December 1815. His progress from this period was rapid and uninterrupted, and for a long series of years he had a great practice in the west of England. He was famed for his skill in diagnosis, and it was based upon a thorough method of clinical examination. He used no complicated remedies, was patient in waiting for results, and was justly confident in the conclusions to which he had attained with so much care. Dr. Blackall retained his strength and faculties to an advanced age, and he did not relinquish private practice till he was eighty. He died at Southernhay, Exeter, on 10 January 1860, and was followed to the grave in the burial-ground of Holy Trinity Church by a large body of relations and friends and the whole of the medical profession resident within the city.


Family

Dr Blackall also had a respected physician son, Thomas Blackall who was also notable for his stewardship of the Spitchwick estate and his building of
Dr Blackall's Drive Dr Blackall's Drive is a track built along the hill above the River Dart, near the hamlet of Poundsgate, in the parish of Widecombe-in-the-Moor, Devon. It was built by and named after Dr Thomas Blackall, a notable physician in Exeter, who owne ...
.


References

;Attribution {{DEFAULTSORT:Blackall, John 1771 births 1860 deaths Medical doctors from Exeter Alumni of Balliol College, Oxford 19th-century English medical doctors 18th-century English medical doctors People educated at Exeter School Fellows of the Royal College of Physicians