Carl Rüedi
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Carl Rüedi (April 21 (or 23?), 1848 – June 17, 1901) was a Swiss
pulmonologist Pulmonology (, , from Latin ''pulmō, -ōnis'' "lung" and the Greek suffix "study of"), pneumology (, built on Greek πνεύμων "lung") or pneumonology () is a medical specialty that deals with diseases involving the respiratory tract.
and at his lifetime one of the best-known
physician A physician (American English), medical practitioner (Commonwealth English), medical doctor, or simply doctor, is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through th ...
s in Graubünden. Rüedi rose to fame around the world after having treated the Scottish author
Robert Louis Stevenson Robert Louis Stevenson (born Robert Lewis Balfour Stevenson; 13 November 1850 – 3 December 1894) was a Scottish novelist, essayist, poet and travel writer. He is best known for works such as ''Treasure Island'', ''Strange Case of Dr Jekyll a ...
in the winters of 1880-81 and 1881-82. Stevenson praised Rüedi in the dedication of his poetry collection ''Underwoods'' (1887) as ''"the good genius of the English in his frosty mountains"''.


Life


Descent and childhood (1848-66)

Carl Rüedi was the youngest of eight children of the Graubünden district doctor and pioneer of
climatotherapy Climatotherapy refers to temporary or permanent relocation of a patient to a region with a climate more favourable to recovery from or management of a condition. Examples include: * The partial pressure of oxygen is lower at high altitude, so pers ...
Lucius Rüedi and his wife Rahel (née Conrad). Yet in early childhood Carl Rüedi excelled himself by physical fitness, liveliness and intelligence. At the age of four Carl hiked with his father in midsummer from
Alvaneu Alvaneu ('' Romansh: Alvagni'') is a former municipality in the district of Albula in the canton of Graubünden in Switzerland. On 1 January 2015 the former municipalities of Alvaschein, Mon, Stierva, Tiefencastel, Alvaneu, Brienz/Brinzauls an ...
(the family's residence) to Davos (Carl's birthplace) away. When Carl was nine of age, he and two of his brothers who attended the cantonal school at
Chur , neighboring_municipalities= Arosa, Churwalden, Tschiertschen-Praden, Domat/Ems, Felsberg, Malix, Trimmis, Untervaz, Pfäfers , twintowns = Bad Homburg (Germany), Cabourg (France), Mayrhofen (Austria), Mondorf-les-Bains (Luxe ...
, hiked from Chur to Davos on one day.


Years of study and first sojourn in the USA (1866-74)

In 1866 Carl Rüedi enrolled at the
University of Tübingen The University of Tübingen, officially the Eberhard Karl University of Tübingen (german: Eberhard Karls Universität Tübingen; la, Universitas Eberhardina Carolina), is a public research university located in the city of Tübingen, Baden-W ...
to study
Protestant Protestantism is a branch of Christianity that follows the theological tenets of the Protestant Reformation, a movement that began seeking to reform the Catholic Church from within in the 16th century against what its followers perceived to b ...
theology Theology is the systematic study of the nature of the divine and, more broadly, of religious belief. It is taught as an academic discipline, typically in universities and seminaries. It occupies itself with the unique content of analyzing the ...
. In the summer of 1867 Rüedi continued his study at the
University of Zürich The University of Zürich (UZH, german: Universität Zürich) is a public research university located in the city of Zürich, Switzerland. It is the largest university in Switzerland, with its 28,000 enrolled students. It was founded in 1833 f ...
. Carl's elder brother Wilhelm had been living as a physician in the
United States The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territori ...
for 12 years. In 1867 Wilhelm came for a visit to his home village
Zizers Zizers ( rm, Zezras) is a municipalities of Switzerland, municipality in the Landquart Region in the Switzerland, Swiss Cantons of Switzerland, canton of Graubünden. Zita of Bourbon-Parma, Empress of Austria-Hungary died in Zizers. History Zizers ...
(Graubünden) and suggested his brothers Carl and Paul to follow him to America. Both agreed, and on December 17, 1867 they set out for
Philadelphia Philadelphia, often called Philly, is the List of municipalities in Pennsylvania#Municipalities, largest city in the Commonwealth (U.S. state), Commonwealth of Pennsylvania, the List of United States cities by population, sixth-largest city i ...
(
Pennsylvania Pennsylvania (; ( Pennsylvania Dutch: )), officially the Commonwealth of Pennsylvania, is a state spanning the Mid-Atlantic, Northeastern, Appalachian, and Great Lakes regions of the United States. It borders Delaware to its southeast, ...
). Paul, a trained physician, opened a doctor's office there and did not visit his homeland before 1882. (Paul (born November 19, 1844) had studied medicine at the
University of Würzburg The Julius Maximilian University of Würzburg (also referred to as the University of Würzburg, in German ''Julius-Maximilians-Universität Würzburg'') is a public research university in Würzburg, Germany. The University of Würzburg is one of ...
(winter of 1863-64), the
University of Zürich The University of Zürich (UZH, german: Universität Zürich) is a public research university located in the city of Zürich, Switzerland. It is the largest university in Switzerland, with its 28,000 enrolled students. It was founded in 1833 f ...
(summer of 1864), the
University of Munich The Ludwig Maximilian University of Munich (simply University of Munich or LMU; german: Ludwig-Maximilians-Universität München) is a public research university in Munich, Germany. It is Germany's sixth-oldest university in continuous operatio ...
(summer of 1865 – winter of 1865-66) and the
University of Tübingen The University of Tübingen, officially the Eberhard Karl University of Tübingen (german: Eberhard Karls Universität Tübingen; la, Universitas Eberhardina Carolina), is a public research university located in the city of Tübingen, Baden-W ...
(summer of 1866).) Impressed by his two brothers Carl also got interested in
medicine Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care pr ...
. After his father's death (1870) Carl returned to Zizers and took up a study of medicine at the
University of Bern The University of Bern (german: Universität Bern, french: Université de Berne, la, Universitas Bernensis) is a university in the Swiss capital of Bern and was founded in 1834. It is regulated and financed by the Canton of Bern. It is a compreh ...
in April 1870. In the summer of 1871 he changed to the
University of Würzburg The Julius Maximilian University of Würzburg (also referred to as the University of Würzburg, in German ''Julius-Maximilians-Universität Würzburg'') is a public research university in Würzburg, Germany. The University of Würzburg is one of ...
. In the winter of 1871-72 and the summer of 1872 Carl Rüedi continued his study of medicine at the
University of Munich The Ludwig Maximilian University of Munich (simply University of Munich or LMU; german: Ludwig-Maximilians-Universität München) is a public research university in Munich, Germany. It is Germany's sixth-oldest university in continuous operatio ...
. In the winter of 1872-73 he returned to the
University of Bern The University of Bern (german: Universität Bern, french: Université de Berne, la, Universitas Bernensis) is a university in the Swiss capital of Bern and was founded in 1834. It is regulated and financed by the Canton of Bern. It is a compreh ...
and prepared himself for the final exams. In the spring of 1874 he received an M.D. (
Doctor of Medicine Doctor of Medicine (abbreviated M.D., from the Latin ''Medicinae Doctor'') is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the M.D. denotes a professional degree. T ...
) and opened a doctor's office in the village of
Seewis im Prättigau Seewis im Prättigau is a Swiss village in the Prättigau and a municipality in the Prättigau/Davos Region in the canton of Graubünden. History Seewis im Prättigau is first mentioned in 1224 as ''de Sevve''. In 1622, Fidelis of Sigmaringe ...
(Graubünden).


Early working years: Davos (1874-91)

On December 24, 1874 Carl Rüedi received a call as a district doctor at Davos, Europe's leading winter
health resort A destination spa or health resort is a resort centered on a spa, such as a mineral spa. Historically, many such spas were developed at the location of natural hot springs or mineral springs; in the era before modern biochemical knowledge and ...
(beside St. Moritz) in those days. Thus Rüedi held the same post as his father previously. Rüedi doctor's office was in the ''Rhätia''
hotel A hotel is an establishment that provides paid lodging on a short-term basis. Facilities provided inside a hotel room may range from a modest-quality mattress in a small room to large suites with bigger, higher-quality beds, a dresser, a re ...
. At Davos Rüedi erected a private residence called ''Villa Richmond''. It was named after the
county A county is a geographic region of a country used for administrative or other purposes Chambers Dictionary, L. Brookes (ed.), 2005, Chambers Harrap Publishers Ltd, Edinburgh in certain modern nations. The term is derived from the Old French ...
in the
state State may refer to: Arts, entertainment, and media Literature * ''State Magazine'', a monthly magazine published by the U.S. Department of State * ''The State'' (newspaper), a daily newspaper in Columbia, South Carolina, United States * ''Our S ...
of New York where he had spent some time between 1867-70. On February 26, 1875 Carl Rüedi, together with two other representatives of the ''Rhätia'' hotel, was elected into the managing committee of the newly founded health resort club. On July 30 or 31, 1875 he was additionally elected its
treasurer A treasurer is the person responsible for running the treasury of an organization. The significant core functions of a corporate treasurer include cash and liquidity management, risk management, and corporate finance. Government The treasury ...
. In 1876 Rüedi was admitted to the Graubünden Society of Physicians (''Bündner Ärzteverein''

seated in Chur. By the growing number of
tuberculosis Tuberculosis (TB) is an infectious disease usually caused by '' Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, i ...
patients coming to Davos Carl Rüedi was well off. Within few years Rüedi gained an excellent reputation among his clientele. By the end of 1878 Rüedi resigned his post of a district doctor and concentrated on his activities as a private doctor. Rüedi's therapeutical successes were due to a combination of medical competence and the high-Alpine
climate Climate is the long-term weather pattern in an area, typically averaged over 30 years. More rigorously, it is the mean and variability of meteorological variables over a time spanning from months to millions of years. Some of the meteorologi ...
of Davos (altitude 1.560 m / 5,118 ft) with its cool, clean and dry air. Rüedi impressed by exact diagnoses, an extraordinary delicate
ear An ear is the organ that enables hearing and, in mammals, body balance using the vestibular system. In mammals, the ear is usually described as having three parts—the outer ear, the middle ear and the inner ear. The outer ear consists of ...
when auscultating the respiratory tract and a profound knowledge of all kinds and stages of lung troubles. The major portion of Rüedi's clientele came from the Anglo-American countries. Thanks to his excellent command of
English English usually refers to: * English language * English people English may also refer to: Peoples, culture, and language * ''English'', an adjective for something of, from, or related to England ** English national ide ...
Rüedi gained a factual
monopoly A monopoly (from Greek el, μόνος, mónos, single, alone, label=none and el, πωλεῖν, pōleîn, to sell, label=none), as described by Irving Fisher, is a market with the "absence of competition", creating a situation where a speci ...
of this clientele within few years. Carl Rüedi's popularity among the English-speaking patients was supported by his Scottish wife (née
Mackenzie Mackenzie, Mckenzie, MacKenzie, or McKenzie may refer to: People * Mackenzie (given name), a given name (including a list of people with the name) * Mackenzie (surname), a surname (including a list of people with the name) * Clan Mackenzie, a S ...
). On June 25, 1879 the couple had a son who was christened John (
sic! The Latin adverb ''sic'' (; "thus", "just as"; in full: , "thus was it written") inserted after a quoted word or passage indicates that the quoted matter has been transcribed or translated exactly as found in the source text, complete with any e ...
).


Intermediate working years: Denver (1891-96)

Rüedi was so much in demand that he came to the limit of his capacity. To let his competence take effect under less exhaustive conditions he emigrated to the US by the end of April 1891 and opened a doctor's office at
Denver Denver () is a consolidated city and county, the capital, and most populous city of the U.S. state of Colorado. Its population was 715,522 at the 2020 census, a 19.22% increase since 2010. It is the 19th-most populous city in the Unit ...
(
Colorado Colorado (, other variants) is a state in the Mountain states, Mountain West subregion of the Western United States. It encompasses most of the Southern Rocky Mountains, as well as the northeastern portion of the Colorado Plateau and the wes ...
). Rüedi had chosen the town at the foot of the
Rocky Mountains The Rocky Mountains, also known as the Rockies, are a major mountain range and the largest mountain system in North America. The Rocky Mountains stretch in straight-line distance from the northernmost part of western Canada, to New Mexico ...
for her approximately same altitude (1,609 m / 5,279 ft) as Davos. There could be no talk, however, of similar climatic conditions, Rüedi confessed later. In those years American pulmonologists sent well-off clients for a high-altitude therapy to
sanatorium A sanatorium (from Latin '' sānāre'' 'to heal, make healthy'), also sanitarium or sanitorium, are antiquated names for specialised hospitals, for the treatment of specific diseases, related ailments and convalescence. Sanatoriums are often ...
s in the Swiss Alps (Davos, St. Moritz), the
Giant Mountains The Giant Mountains, Krkonoše or Karkonosze (Czech: , Polish: , german: Riesengebirge) are a mountain range located in the north of the Czech Republic and the south-west of Poland, part of the Sudetes mountain system (part of the Bohemian Massi ...
( Görbersdorf) or the
Adirondack Mountains The Adirondack Mountains (; a-də-RÄN-dak) form a massif in northeastern New York with boundaries that correspond roughly to those of Adirondack Park. They cover about 5,000 square miles (13,000 km2). The mountains form a roughly circular ...
( Saranac Lake, New York). In the Rocky Mountains, however, there was hardly any medical infrastructure for tuberculosis patients. Apart from a sanatorium in the
hamlet ''The Tragedy of Hamlet, Prince of Denmark'', often shortened to ''Hamlet'' (), is a tragedy written by William Shakespeare sometime between 1599 and 1601. It is Shakespeare's longest play, with 29,551 words. Set in Denmark, the play depicts ...
of
Hygiene Hygiene is a series of practices performed to preserve health. According to the World Health Organization (WHO), "Hygiene refers to conditions and practices that help to maintain health and prevent the spread of diseases." Personal hygiene refer ...
(
Boulder County, Colorado Boulder County is a county located in the U.S. state of Colorado of the United States. As of the 2020 census, the population was 330,758. The most populous municipality in the county and the county seat is Boulder. Boulder County comprises ...
) (altitude 1,553 m / 5,095 ft) which Rüedi visited in October 1891 there only existed primitive camps of covered wagons and tents or isolated pensions and
hotel A hotel is an establishment that provides paid lodging on a short-term basis. Facilities provided inside a hotel room may range from a modest-quality mattress in a small room to large suites with bigger, higher-quality beds, a dresser, a re ...
s.A. McGehee Harvey
The American Clinical and Climatological Association: 1884 – 1984
p. 49
Yet in the year of his arrival in America Carl Rüedi was elected a fellow of the ''American Clinical and Climatological Association (ACCA)''. This professional organization had been founded by physicians and scientists in 1884 to improve the medical training, research and practice in the USA. In its early years the ACCA mainly aimed at treating tuberculosis patients by sojourns in a suitable climate. As a pioneer of the practical climatotherapy Rüedi was one of the main authorities for the concern of the ACCA. In 1895 Carl Rüedi held two lectures before the ACCA. In his first lecture (''A Comparison of the Winter Healthresorts in the Alps with some Places in the Rocky Mountains of Colorado'' ) Rüedi argued that, Rüedi presented the vision of a climatic health resort cluster in the Rocky Mountains. Each resort would be situated at a different altitude, thus allowing pulmonologists to choose where to send their clients, depending on the stage of illness and physical constitution: From Denver and surroundings to either
Colorado Springs Colorado Springs is a home rule municipality in, and the county seat of, El Paso County, Colorado, United States. It is the largest city in El Paso County, with a population of 478,961 at the 2020 United States Census, a 15.02% increase since ...
at 6,000 ft (1,829 m),
Estes Park Estes Park is a statutory town in Larimer County, Colorado, United States. The town population was 5,904 at the 2020 United States Census. Estes Park is a part of the Fort Collins, CO Metropolitan Statistical Area and the Front Range Urban Cor ...
at 7,000 ft (2.134 m) or a location at 8,000 ft (2.439 m) still to be identified by Rüedi. ''"This would be a health-resort (
sic! The Latin adverb ''sic'' (; "thus", "just as"; in full: , "thus was it written") inserted after a quoted word or passage indicates that the quoted matter has been transcribed or translated exactly as found in the source text, complete with any e ...
) not known before"''. In his second lecture (''A Peep into the Future, with Respect of pathological-anatomical Researches'') Rüedi criticized the one-sided sympathy of his medical colleagues for the
cytopathology Cytopathology (from Greek , ''kytos'', "a hollow"; , ''pathos'', "fate, harm"; and , '' -logia'') is a branch of pathology that studies and diagnoses diseases on the cellular level. The discipline was founded by George Nicolas Papanicolaou in ...
. Rüedi pleaded for exploring not only the cells and tissues but also the liquid components of the human body outside the cells, in particular the blood serum, the
lymph Lymph (from Latin, , meaning "water") is the fluid that flows through the lymphatic system, a system composed of lymph vessels (channels) and intervening lymph nodes whose function, like the venous system, is to return fluid from the tissues ...
and the
tissue fluid In cell biology, extracellular fluid (ECF) denotes all body fluid outside the cells of any multicellular organism. Total body water in healthy adults is about 60% (range 45 to 75%) of total body weight; women and the obese typically have a lo ...
. Rüedi was convinced that analysing the blood serum would provide physicians a valuable means to forecast the „ degenerations” in the cells of the respective person which are to be expected in the near future. Rüedi's expectations regarding the New World, however, did not materialize. (Perhaps the medical infrastructure developed too slowly in his eyes.) For that reason Rüedi returned to Switzerland after only five years (1896).


Last working years: Arosa (1896-1901)

In his absence, however, the working conditions for physicians at Davos had changed dramatically. By the introduction of a limited number of licenses to local physicians the exercise of the medical profession had become so
regulated Regulation is the management of complex systems according to a set of rules and trends. In systems theory, these types of rules exist in various fields of biology and society, but the term has slightly different meanings according to context. Fo ...
that even a capacity like Rüedi had no chance of opening a doctor's office there. Instead of Davos Rüedi settled in the small health resort of Arosa (altitude 1,775 m / 5,823 ft), west of Davos. In the winter of 1896-97 Rüedi started to practice as a private doctor at the ''Grand Hotel Arosa'' (nowadays ''Robinson Club''). Regarding its development, however, the village of Arosa lay decades behind Davos. The high-altitude therapy of tuberculosis had not been introduced there before 1880 when the first hotel (''Seehof'') was opened. And it was not before 1888 when the first sanatorium had opened. (At this time Arosa had not more than 88 residents.) The number of Rüedi's clients remained disappointingly low. Rüedi seriously worried about his financial income and started to commit himself in raising the attractiveness of Arosa as a health resort. On October 4, 1896 Rüedi was unanimously elected a member of the local health resort club. He regularly participated in the meetings and made numerous proposals, e.g. the erection of an artificial
toboggan A toboggan is a simple sled traditionally used by children. It is also a traditional form of transport used by the Innu and Cree of northern Canada. In modern times, it is used on snow to carry one or more people (often children) down a hill ...
run. On June 22, 1897 Rüedi suggested to introduce a
street lighting A street light, light pole, lamp pole, lamppost, street lamp, light standard, or lamp standard is a raised source of light on the edge of a road or path. Similar lights may be found on a railway platform. When urban electric power distribution ...
. In November 1900 Rüedi and four of his medical colleagues suggested to establish a scientific club. Every two weeks three
academics An academy (Attic Greek: Ἀκαδήμεια; Koine Greek Ἀκαδημία) is an institution of secondary or tertiary higher learning (and generally also research or honorary membership). The name traces back to Plato's school of philosophy, ...
should discuss a subject of general interest (except
religion Religion is usually defined as a social- cultural system of designated behaviors and practices, morals, beliefs, worldviews, texts, sanctified places, prophecies, ethics, or organizations, that generally relates humanity to supernatural, ...
and
politics Politics (from , ) is the set of activities that are associated with making decisions in groups, or other forms of power relations among individuals, such as the distribution of resources or status. The branch of social science that stud ...
) in front of a public audience. In his spare time Rüedi was active in organizing and timekeeping the wintertime sledge races which were first and foremost arranged for the entertainment of
tourists Tourism is travel for pleasure or business; also the theory and practice of touring, the business of attracting, accommodating, and entertaining tourists, and the business of operating tours. The World Tourism Organization defines tourism mo ...
. Arosa's most serious impediment in development, however, was the lack of convenient transportation facilities to and from the village. In those years it took visitors several hours by stagecoach to travel the from Chur. Carl Rüedi's greatest concern, therefore, was the improvement of the traffic connections from the Graubünden capital to Arosa. On September 14, 1897 Rüedi and some other residents of Arosa established a commission with the objective of broadening the narrow road from Chur to Arosa. In 1900 (or shortly before) Carl Rüedi and the Graubünden
Landammann ''Landammann'' (plural ''Landammänner''), is the German title used by the chief magistrate in certain Cantons of Switzerland and at times featured in the Head of state's style at the confederal level. Old Swiss Confederacy ''Landammann'' or ''A ...
(governor) Hans Brunold of
Peist Peist is a former municipality in the district of Plessur in the canton of Graubünden in Switzerland. On 1 January 2013 the former municipalities of Peist, Calfreisen, Castiel, Langwies, Lüen, Molinis and St. Peter-Pagig merged into the mu ...
(1861 – 1941) submitted petitions to the Great Council (the parliament of Graubünden) and the
Federal Assembly of Switzerland The Federal Assembly (german: Bundesversammlung, french: Assemblée fédérale, it, Assemblea federale, rm, Assamblea federala), also known as the Swiss parliament (''Parlament'', ''Parlement'', ''Parlamento''), is Switzerland's federal legi ...
for the erection of an electric
railway Rail transport (also known as train transport) is a means of transport that transfers passengers and goods on wheeled vehicles running on rails, which are incorporated in tracks. In contrast to road transport, where the vehicles run on a pre ...
between Chur and Arosa.Rüedi’s home municipality of Davos had been profiting from such a connection for ten years already. Carl Rüedi, however, was not granted to witness the arrival of the first train at Arosa (December 1914). On June 17, 1901 Rüedi died unexpectedly at Arosa at the early age of 53.


See also

*
Tuberculosis management Tuberculosis management describes the techniques and procedures utilized for treating tuberculosis (TB). The medical standard for active TB is a short course treatment involving a combination of isoniazid, rifampicin (also known as Rifampin), ...
*
Tuberculosis treatment in Colorado Springs The town of Colorado Springs, Colorado played an important role in the history of tuberculosis in the era before antituberculosis drugs and vaccines. Tuberculosis management before this era was difficult and often of limited effect. In the 19th c ...


Notes


References

* Davoser Blätter. Curzeitung and Fremdenliste, 20th annual vol., no. 8, February 21, 1891, p. 1; and 20th annual vol., no. 18, May 9, 1891, p 1. * * Visitors list of Arosa, no. 6, November 18, 1900, p 1. * * Minutes of the health resort club on Arosa June 23, 1901 (Manuskript); no page given. * * No author given: Allerlei von der Chur-Arosa-Bahn and ihrer Vorgeschichte; in: Abendzeitung (Arosa), December 4, 1964; no page given. * * Jules Ferdmann: Der Aufstieg von Davos; Verlag Genossenschaft Davoser Revue, 2nd edition, 1990 (1st edition, 1935). * No author given: Dr. C. Ruedi – Arzt in Arosa (handwritten notes from the period October 4, 1896 – September 14, 1897); in the possession of the museum of local history and culture Schanfigg, Arosa. {{DEFAULTSORT:Ruedi, Carl 1848 births 1901 deaths People from Davos Swiss pulmonologists University of Bern alumni University of Tübingen alumni Ludwig Maximilian University of Munich alumni University of Würzburg alumni University of Zurich alumni People from Denver