Having a bee in one’s bonnet doesn’t necessarily mean that a notion is unlikely to succeed but does indeed suggest having an ever-present obsession. One case (and this isn’t a silly example but rather a tragic one) involves the Hungarian obstetrician Ignaz Semmelweis who in the 1840s made a connection between poor clinical hygiene and the incidence of death among mothers newly delivered of their babies. Childbed fever was rife in maternity wards where postpartum examinations were often conducted by doctors who hadn’t washed their hands between patients. Worse still, in some hospitals physicians were handling the sore and often ruptured parts of mothers after having come strait from conducting post-mortems in the mortuary and again without having washed their hands in the interim.
Despite having instituted an antiseptic handwashing regime in his own Viennese clinic which saw a drastic reduction in the deathrate among nursing mothers and also having published his findings, Semmelweis met widespread indifference and even opposition from many obstetricians. Frustrated by this, but undeterred, his efforts to get his message across would gradually become all-consuming. He soon earned a reputation for using any medical meeting, social function, dinner party or even casual encounter as an opportunity for him to lecture on the topic. When there was still no general uptake of his idea, he began writing open letters to all obstetricians in forthright and sometimes insulting language. It seemed the more messianic he became, the more his peers shunned both him and his message. This downward spiral sent Semmelweis hurtling towards mental breakdown and he began wandering the streets of Vienna dispensing his wisdom to any passersby, vagrants or even dogs. After having been involuntarily committed to a mental asylum, he was beaten by orderlies and straitjacketed. The beating resulted in his hand receiving a cut which became infected and developed gangrene which in turn caused blood poisoning from which he died a fortnite later aged only 47. It was an extreme irony that so great an advocate of antiseptic handwashing should have been unable to disinfect (or have disinfected) a wound on his own hands by dint of being in a straitjacket.
In a further tragic twist, soon after his death Semmelweis’ views were vindicated by Louis Pasteur in France (with regard to pathogenic bacteria) and by Joseph Lister in Britain (with regard to antiseptic handwashing). Needless to say that both Pasteur and Lister are giants in the annals of clinical history while Semmelweis is a virtual unknown.