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Tag: health



During the Abbasids’ Golden Age, the first true hospitals were created, including free public ones in Baghdad and elsewhere in the region. The main difference from the ‘sleep temples’ and asylums of the Classical era was that these hospitals were designed to treat and heal, rather than merely to isolate the infected and the sick. The idea was something of a revolution within itself, and later spread to Europe, along with pharmacology, taken back West by the Crusaders.

         These hospitals featured competency tests for doctors and surgeons, grading for purity and strength of pharmaceuticals, and separate wards for people with similar contagious diseases, as well as the first real autopsies. Patients from different religions were treated, and the surgical staff were Christians and Jews as well as Muslims. There were female doctors and nurses for the first time as well.

         The rise in cheap paper and literacy meant that everything could be written down and passed to other cities along the pilgrimage routes, for others to master. Great books were amassed from all the new knowledge. These eventually found their way into Europe and were translated into Latin… although only the Latin-speaking elite could understand them. They included pioneering works like the 30-volume medical encyclopaedia, the ‘Kitab al-Tasrif’, (The Book of Concessions), written by al-Zahrawi, and published in the year 1000 AD. It was used for centuries in both East and West.

And Ibn Sina’s The Canon of Medicine (c. 1020 AD), is still regarded as one of the most important medical textbooks of all time. It was used at the University of Montpellier’s medical department as late as 1650 AD, and was even used across until even later China.

         Dozens of Renaissance and later medical breakthroughs had already been accurately described by the Arab polymaths. Blood circulation, for instance, usually credited to the 17th century English physician, had been published by Ibn al-Nafis  in the 13th century.



Peer Review

Peer Review was first described by al-Rahwi, working in Damascus in the ninth century AD. In his ‘The Ethics of the Physician’, he states that the physician must always make duplicate notes of a patient’s condition on every visit. He said this was important so that when the patient has been discharged or has died, one set of notes can be given to a local medical council, to ascertain whether satisfactory medical care was provided. It was the start of lawsuits for medical malpractice… something that many a legal service may have wish was never invented at all.