Surgery

I have a soft spot for specimen jars and skeletal remains. Museums of natural history, surgical pioneering or anthropological oddities have always struck me as equally suitable for lunch breaks and first dates as for serious study and research. As far as public and casually accessible encounters with mortality go, these kinds of museums are the most straightforward way of confronting the realities of human nature. But whether we should have this kind of casual access is now increasingly being questioned. Telling history through displays of human remains presents a challenge for curators.

A doctor with wild grey hair and mutton chops holds a scalpel in his bloodied hand. He has paused for a moment, allowing one of his students to take his place and complete the incision. It’s a remarkably clean cut; the young man with the clamp has barely dirtied his shirt cuffs. Even so, the patient’s mother, if that’s who she is, weeps in the corner. She can see nothing but frock coats and a segment of open flesh. The 19th-century Philadelphia-based artist Thomas Eakins did not paint surgery as it was, exactly, but he did capture something of its veiled sterility. There may be no gowns or masks in his earlier medical pictures, but the wool coats and shirts worn by the doctors only do so much to soften the atmosphere of the operating theatre.

In 1450, the Duke of Urbino, Federico da Montefeltro, became monocular after losing vision in his right eye following a jousting accident. In order to improve the peripheral vision of his left eye, he had surgeons cut off the bridge of his nose. In Piero della Francesca’s 1472 portrait, the Duke is depicted in profile, so we can see that an equilateral triangle of flesh and bone has been chopped from what must have been an elegant aquiline beak. I have been more fortunate. In the past year I’ve had four operations at Moorfields Eye Hospital in London to repair a detached retina that made me blind in one eye. I didn’t have to cut off my nose to spite my face and improve my vision. What was impossible in the 15th century has become routine in the 21st.