| Book Review | The American Historical Review, 110.2

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| Book Review | The American Historical Review, 110.2 | The History Cooperative

Book Review

Canada and the United States

David A. E. Shephard. Island Doctor: John Mackieson and Medicine in Nineteenth-Century Prince Edward Island. (McGill-Queen's/Associated Medical Services [Hannah Institute] Studies in the History of Medicine, number 20.) Ithaca, N.Y.: McGill-Queen's University Press. 2003. Pp. xxviii, 187. $44.95.
This study of the medical practice of John Mackieson in Charlottetown, Prince Edward Island (PEI), from 1821 to 1885, is representative of the new medical biography being written. No longer is the focus on the "great" men of medicine but rather on the day to day practices of the less noted. The years covered in the book were among the most crucial for the island including as they did ownership by mostly absentee landowners, attainment of responsible government, participation in the confederation debates, and eventual provincial status in the Dominion of Canada. Significant changes occurred in medicine as well, in disease concepts, treatment, and medical technology.	1
Born in Scotland in 1795, Mackieson received his medical diploma at the age of twenty, which allowed him to practice surgery and pharmacy as a country licentiate only. In 1821, he emigrated to PEI and the town of Charlottetown, both of which must have seemed like a backwater to him. Nevertheless, through his marriage and his expanding medical practice Mackieson became a "well-connected citizen" (p. xxiii). In 1833, he was appointed the port health officer for Charlottetown, in 1837 a member of the Central Board of Health, in 1847 Superintendent of the Charlottetown Lunatic Asylum, and in 1863 medical attendant to the Charlottetown jail.	. . .

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