Sims, who practiced medicine at a time when treating women was considered distasteful and rarely done, invented the vaginal speculum, a tool used for dilation and examination. He also pioneered a surgical technique to repair vesicovaginal fistula, a common 19th-century complication of childbirth in which a tear between the uterus and bladder caused constant pain and urine leakage. Critics say Sims cared more about the experiments than in providing therapeutic treatment, and that he caused untold suffering by operating under the racist notion that black people did not feel pain. They say his use of enslaved black bodies as medical test subjects falls into a long, ethically bereft history of medical apartheid that includes the Tuskegee syphilis experiment and Henrietta Lacks. After interning with a doctor, taking a three-month course and studying for a year at Jefferson Medical College, Sims began his practice in Lancaster. He later relocated to Montgomery, Alabama, seeking a fresh start after the death of his first two patients. It was in Montgomery that Sims built his reputation among rich, white plantation owners by treating their human property. Sims built an eight-person hospital in the heart of the slave-trading district in Montgomery. While most healthcare took place on the plantations, some stubborn cases were brought to physicians like Sims who patched up slaves so they could produce—and reproduce—for their masters again.
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