naming of


“Physicians on the Spanish and American


frontiers often treated patients with medicines prepared at the patient’s bedside with herbs from their saddlebags according to traditional recipes that were particularly adaptable. In time, some of these physicians made up large batches of their medicines to keep on the shelves of their offices or homes, which they called ‘drug stores.’” This practice forms the origins of drug manufacturing and sale in Texas.” Researchers Benjamin Y. Urick and Emily


a knife, I cut open the breast as far as the place. The arrow point had gotten athwart, and was very difficult to remove. By cutting deeper, and inserting the point of the knife, with great difficulty I got it out; it was very long. Then, with a deer-bone, according to my knowledge of surgery, I made two stitches. After I had extracted the arrow they begged me for it, and I gave it to them. The whole village came back to look at it, and they sent it further inland that the people there might see it also… “The next day I cut the stitches, and the


Indian was well. The cut I had made only showed a scar like a line in the palm of the hand, and he said that he felt not the least pain. Now, this cure gave us such fame among them all over the country as they were capable of conceiving and respecting.” After he returned to Spain, de Vaca wrote


an account of his eight year odyssey that included present-day Texas, New Mexico and Northern Mexico that is considered the first known written description of the American Southwest. It was translated in 1905 by Fanny Bandelier, whose work in the American Southwest, Mexico, and South America, with her archaeologist husband, Adolphe, led to the


Bandelier National Monument in New Mexico. Texas Tech’s west-to-east history of


pharmacy records that Spanish missionaries were pharmacists, serving even remote areas as early as 1682, because doctors were found only at military posts or civil communities. But the de Vaca heritage remained: “Even then, Spanish


“Making the sign of the cross and breathing on the sick to heal them was “dispensing” for Cabez de Vaca five centuries ago.”


physicians in Texas lacked drug supplies and knowledge, so they augmented their skills, knowledge, and supplies with assistance from Native American medicine men.


V. Meggs wrote in a 2019 issue of Pharmacy that the early concept of the apothecary and the pharmacist changed with the Industrial Revolution of the 19th Century with the “mass manufacture of medicinal products which once only the pharmacist could produce…” They divide the last century’s history of pharmacy into four eras: Soda Fountain, 1920- 1949; Lick, Stick, Pour and More, 1950-1979; Pharmaceutical Care, 1980-2009; and Post- Pharmaceutical Care, 2010-2020, when their study was published. For most of the industry’s history, dispensing


of drugs was the norm. But they argue pharmacies are increasingly becoming part of the patient care system. They conclude, “It is hard to imagine a community pharmacist in the mid-21st century doing nothing but dispensing, but it is equally hard to imagine that dispensing would not be part of how the average community pharmacist spends his or her day…If community pharmacists can demonstrate that their services have a meaningful impact on healthcare value, it is likely their non-dispensing roles will continue to increase.” Making the sign of the cross and breathing


on the sick to heal them was “dispensing” for Cabez de Vaca five centuries ago. Removing an arrowhead lodged close to an indigenous man’s heart, perhaps America’s first example of the patient care system, led de Vaca to be considered the “Patron Saint” of the Texas Surgical Society. What adventures are ahead for today’s


young pharmacists? But, then again, who says adventure is only for the young?


THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 31


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