For almost 200 years there had been a doctor resident in Bow. I was the twenty-ninth

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THE MEDICAL GENTLEMEN OF BOW


Christian Budd

Christian Budd



Born in 1813 in North Tawton, Christian Budd was the seventh child of Samuel Budd whom he succeeded as a surgeon in that town in 1841. He lived in North Tawton for the rest of his life and was in practice until three or four years before his death 50 years later in 1891.


He graduated MB from Pembroke College, Cambridge in 1839. Although frequently accorded to have proceeded MD he never claimed this himself. A bachelor, he also was a JP and owned a cattle farm. On his father's death in 1841, he briefly took over his position as Medical Officer to North Tawton District. About a year after taking up his appointment he fell out with the Okehampton Poor Law Union as they would not always support his recommendations concerning the treatment of sick paupers. So he resigned, and after a few months was replaced by Dr Charles Lane, who only lasted a year before moving away. Budd was then offered and accepted the contract again at an annual salary of £35. In 1848 he asked for a salary increase to £50 per annum. This was refused so he resigned again. Thereafter he was in private practice, often travelling long distances to see patients



Christian Budd

  from "The Budds of North Tawton" by Ann Adams


In 1859 he was called to treat six children with the symptoms of poisoning. Emma Grace Flood (b 1849), the daughter of persons in humble circumstances, in company with seven other children, went to the shop of Mr. John Ryan, a confectioner of the village, and purchased half-pennyworth of the coloured dust of sweetmeats, made in the form of "birds’ nests". The child divided this dust between the children, who all ate of it.


Dr. Christian Budd, physician of Northtawton, stated that on Tuesday, about seven o'clock in the evening, he was summoned to see the children. He went to Mrs. Flood's house and saw Emma, Catherine, and Elizabeth Flood, as well as a child called Emma Taylor. The children vomited in his presence; Emma Flood was very ill; she was in a state of collapse, had a very feeble pulse, and her countenance was livid. The child, Taylor, also vomited whilst he was there. Another of Mr. Flood's children also vomited a good deal. Witness also saw children, called Isherwood, but they were not vomiting, nor did they present any symptoms requiring his interference. From the similarity and urgency of their symptoms he came to the conclusion that they had taken something deleterious. Witness had been informed that they had been eating "sweets." He prescribed mustard and milk. Witness saw Emma Floud three times that night, for her symptoms were alarming. He saw the children again the next day, and then the symptoms had passed off.


 


It transpired that the "birds' nests" contained "smalts and chrome" as colouring agents. They had been made by an Exeter confectioner named William Sherry, who was taken to court, but no prosecution was made after he agreed never to use those toxic materials again.


In 1866 he assisted William Warren of Bow with the outbreak of Cholera in Zeal Monachorum which caused the deaths of 15 villagers.


Christian Budd worked closely with Dr Alexander Wynter Blyth who was appointed Medical Officer of Health for the area in 1873. Blyth respected Budd's views on the transmission of Diphtheria, and an unusual form of infectious pneumonia: see extract of Dr Blyth's 1875 article in the Lancet, below.

He was injured in a shooting accident near Holsworthy in December 1877. One of a group of friends fired at a woodcock and a lead shot penetrated his right eye. He subsequently had a glass eye.


In 1881 he described a patient who had died apparently from the toxic effects of an excessive dose of cochicine, an extract of crocus still used to treat attacks of gout.




His case history was published in the Lancet (vol. i., 1881, p. 368) and was referred to in Dr Wynter Blyth's textbook on poisons: "A gentleman, aged 50, had taken twenty-eight of Blair’s gout-pills in four and a half days for the relief of a rheumatic affection. He suffered from nausea, griping pains in the belly, considerable diarrhœa, vomiting, and hiccough; towards the end there was stupor, convulsive twitchings of the muscles, paralysis, and death. The fatal illness lasted fourteen days; he was seen by three medical men at different dates—the first seems to have considered the case one of diarrhœa, the second one of suppressed gout; but Dr. C. Budd was struck with the similarity of the symptoms to those from an acrid poison, and discovered the fact that the pills had been taken. These pills I examined; they were excessively hard, and practically consisted of nothing else than the finely-ground colchicum corms; six pills yielded 8 mgrms. of colchicine, so that the whole twenty-eight would contain 39 mgrms. (3⁄5 grain). Dr. Budd considered that the whole of the pills, which were of a stony hardness, remained in the bowels for some time undigested, so that the ultimate result was the same as if the whole had been taken in one dose."

      





       Memorial to Christian Budd and


       his parents in North Tawton churchyard.



    Much of the lead lettering has been lost but
     Christian Budd's name can still be made out 

     at  the  base of the cross

After a short ilness,Chistian Budd died on 17 August 1891. On the Sunday after his funeral, the rector Rev Robert Hole preached:



"The name of Christian Budd has long been recognised, not only in this county but throughout the greater part of England, as the name of one who, from his wonderful gift of discovering the cause of disease, his untiring energy and perseverance in arresting the spread of infectious disorders, his unfailing skill in his treatment of patients, his uniform kindness and attention to those under his care, the poor as well to the rich, his instant attention to every call of duty, ever regardless of his own personal convenience, proved himself to be a leading power, a distinguished chief, in the ranks of that noble profession which he so loved and so truly adorned. From the time he commenced to practice, some 50 years ago, up a short time before his death, the study of the art of healing was the great object of his life, to be able to alleviate suffering and pain his great ambition; and how many hundreds of people in this, his native town, as in other places, have owed their lives and their freedom from years of ill-health to his skilful treatment? Of his countless acts of generosity to the poor who sought his advice I could write volumes."


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