Monday, December 28, 2015

A North Country Doctor Provides the Breath of Life

IsaacPatchenOf the many great stories about old country doctors, one of my favorites happened in the North Country just a few minutes south of Plattsburgh. The doctor’s name was Isaac Hutinac Patchen. His grandfather, Claude Hutinac, married a woman whose surname was Patchen. Their son, Stephen (Isaac’s father), fought in five Revolutionary War battles and endured the terrible suffering at Valley Forge. Following the war, he assumed his mother’s surname, and family members henceforth were known as Patchens.

Isaac Patchen was born around 1793, and at age 20 he began medical training. At the time, he lived in Vermont’s Lake Champlain Islands and in northern New York, where war was affecting locals on both sides of the lake. On September 11, 1814, during the Battle of Plattsburgh, he joined a militia force and volunteered to pursue fleeing enemy soldiers. More than twenty men were captured, and years later, Isaac received a land grant of 160 acres in return for a job well done.

During his career, Patchen became a widely respected physician and surgeon. Among the events solidifying that reputation was a life-saving effort around 1830. Franklin Bromley, a young boy from the town of Peru in Clinton County, had swallowed a bean that became lodged in his windpipe. A doctor attempted a tracheotomy, but the patient lost large amounts of blood from a cut blood vessel, and from all outward appearances was deceased.

Dr. Patchen took emergency action, described here in his own words: “My immediate object being to resuscitate the child, not to extract the bean, I commenced my incision near the inferior of the thyroid cartilage, and carried it down to the cricoid. I then slit the crico-thyroid membrane from the base of the thyroid to the superior margin of the cricoid cartilage, introduced a large elastic gum catheter through the orifice of the wound into the larynx, and inflated the lungs. I carried on artificial respiration, accompanied by the use of volatiles and friction, until the lungs had been inflated fifteen or twenty times before there were any signs of returning life. I then observed motion, which encouraged me to persevere in the measures mentioned. Shortly, a gasp, or slight catch for breath, which gradually grew stronger, until he was able to respire without assistance, which was about one hour.” A few days later, the bean was successfully removed, and the patient made a full recovery.

TracheoWiki02Snatched from the jaws of death, young Bromley grew to adulthood, married, and fathered ten children that lived to the ages of 46, 2, 89, 23, 58, 1, 16, 1, 88, and 16. They and their descendants through several successive generations would never have existed but for the lifesaving actions of Dr. Patchen.

Among Bromley’s ten offspring were three children named after him. Oddly enough, they all died young — Frank L. at less than a year old, Frank B. shortly after birth, and (again) Frank L., the oldest at sixteen years when he passed away.

Besides membership in the Clinton County Medical Society, Patchen was commissioned by the governor as a military surgeon. A community-service activist, he was a county judge, commissioner of deeds, and held at least five other positions of leadership in the county at various times. At his death in 1859, he was still best known for the remarkable actions under pressure that saved Franklin Bromley from certain death.

Photos: Isaac Patchen; cartilages of the larynx (Wikipedia)

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Lawrence Gooley, of Clinton County, is an award-winning author who has hiked, bushwhacked, climbed, bicycled, explored, and canoed in the Adirondack Mountains for 45 years. With a lifetime love of research, writing, and history, he has authored 22 books and more than 200 articles on the region's past, and in 2009 organized the North Country Authors in the Plattsburgh area.

His book Oliver’s War: An Adirondack Rebel Battles the Rockefeller Fortune won the Adirondack Literary Award for Best Book of Nonfiction in 2008. Another title, Terror in the Adirondacks: The True Story of Serial Killer Robert F. Garrow, was a regional best-seller for four years running.

With his partner, Jill Jones, Gooley founded Bloated Toe Enterprises in 2004, which has published 83 titles to date. They also offer editing/proofreading services, web design, and a range of PowerPoint presentations based on Gooley's books.

Bloated Toe’s unusual business model was featured in Publishers Weekly in April 2011. The company also operates an online store to support the work of other regional folks. The North Country Store features more than 100 book titles and 60 CDs and DVDs, along with a variety of other area products.

7 Responses

  1. A. Hyson says:

    Is Patchen road in Burlington VT named after Isaac Patchen? Did he attend the UVM school of medicine?

  2. What a totally amazing story. We seem to think that medical knowledge so long ago was basically non-existent &/or extremely crude. It was, in many cases, but along the line came more courageous & daring individuals who led the way to better medical ideas & treatment. Thanks to them, we are where we are today.

  3. says:

    EXCELLENT article ! Would love to hear more about Dr. Patchen’s life & times….

  4. Larry says:

    Thank you for the nice comments. As to the questions: Isaac trained under country doctors before practicing on his own. Later in life, in 1844, he received an honorary degree as Doctor of Medicine from the medical college in Castleton, Vermont. While he settled and practiced on the New York side of the lake, many Patchens remained in Vermont. I’m not sure of the source of the road’s name. Maybe when I have more time to dig …

  5. Terry says:

    Nice story about a good doctor!!

  6. Todd Woodward says:

    My grandfather on my mother’s side was Herbert Bromley of the Military Turnpike Extension, Peru. I’ve written an as-yet unpublished book about my family in which I did a lot of research on my father’s side of the family. I’m sorry to say I know very little beyond my Bromley grandparents. I also believe, in one of life’s little ironies, that one of my Woodward relatives founded Castleton University. Two of my sons matriculated at Castleton, as I now live in Vermont, although Peru is my hometown. If at all possible I would like more information on the Bromleys mentioned in your story. Any ideas?

  7. Larry says:

    Thanks Terry. And Todd … I’ll email you a couple of items that might be helpful.

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