Wednesday, December 31, 2008

Taking Healthy Living Seriously

Another recent transferee from the circulating collections to special collections is Children of the Covered Wagon: report of the Commonwealth Fund Child Health Demonstration in Marion County, Oregon, 1925-1929, which has earned a spot in the Pacific Northwest Archives Collection here. Written by early female UOMS graduate Estella Ford Warner, MD, and Geddes Smith, the report outlines the huge success of preventive health measures among the children of Marion County in an effort to illustrate that "good public health work pays and ... is worth paying for." In turn, it is illustrated with some lovely photos and absolutely delightful line drawings, two of which you see here.

So, on this eve of the new year, we here at Historical Collections & Archives wish our readers a happy and healthy year ahead--for you and your cow...

Note: HC&A will be closed January 1-4 for the holiday. See you next year!

Tuesday, December 30, 2008

Ultra unique

As I have been methodically assessing the early books in the circulating collections here at OHSU, going first through a list of 1902 titles, then the 1903 titles, then the 1904--well, you get the idea--I have found a small handful of unique titles. And by unique, we mean that no other library in WorldCat has indicated ownership of the book and there are no copies available on the rare and used book markets. So, really and truly scarce, if not actually unique.

One of these unique titles is a small treatise bearing the cover title Ultra Violet and Infra Red Therapy in Dentistry, written by Max L. Bramer, DDS, former staff member of the Illinois State Hospital and dental director of the Union Electric Dispensary. Bramer apparently was a company man through and through; his work for the (presumably) subsidized dispensary of a major corporation may have been a factor in his decision to team with Britesun, Inc., on this and one other pamphlet (held uniquely by UCSF) on the use of light therapy in dentistry.

In the Preface to his 1929 work, Bramer writes:
In this short treatise I will attempt to give in a small measure some of the historical, biological and practical applications of Light Therapy in Dentistry. These results are based upon four years' work in my office; they include case histories, observation, X-ray findings and laboratory reports.

Up to this time little has been written on the subject. This is the first attempt by anyone to place a treatise on the above subject before the profession, and I trust my readers may become interested and offer constructive criticism which will induce someone to write a more complete and exhaustive text on the subject.
And he may not have been entirely correct in asserting his primacy in the field: OHSU's collections contain a few other early works on phototherapy in dentistry, including this one which predates Bramer's work. (And that one isn't quite unique: a second copy is held by U Penn).

While the information conveyed in the text may be outdated ("General radiation of babies will not only aid normal dentition but will help correct abnormal dentitition"), it is invaluable for assessing the state of the technic in dentistry in the late 1920s, for understanding early uses of radiation in medicine, and for judging the historical connections between science and industry. All in all, a powerful little piece which has been transferred to the History of Dentistry Collection for safekeeping.

Monday, December 29, 2008

Gross donation

A stunning new donation of works by and about Samuel D. Gross, MD, was received into Historical Collections & Archives this morning. Delivered by longtime faculty member and bibliophile Richard Mullins, MD, the collection is comprised of nine works (listed below), all new to the History of Medicine Collection here at OHSU. Once processed, these works will be available to researchers throughout the Portland community and beyond. We are extremely grateful to Dr. Mullins for choosing to deposit this significant group of titles here in HC&A.

Item Number 1
Title on cover: Complimentary Dinner to Professor S. D. Gross. April, 1879
Title Page Dates and Edition: Complimentary dinner give to Professor S. D. Gross by the medical friends in commemoration of his fifty-first year in the profession. April 10, 1879
Publisher: Lindsay & Blakiston Philadelphia: 1879

Item Number 2
Title on cover: Memorial Oration in Honor of Ephraim McDowell
Title Page Dates and Edition: Memorial Oration in honor of Ephraim McDowell “The father of ovariotomy”. Samuel D. Gross, M.D., LL.D., D.C. L., Oxon.
Delivered at Danville, Ky at the dedication of the monument erected to the memory of Dr Ephraim McDowell by the Kentucky State Medical Society, May 14, 1879.
Publisher: “Published by the Society”, Louisville, Ky. Printed by John P. Morton and company, 1879
Ex libris Robert J. Moes.
Owner's name “L Connor MD” on spine

Item Number 3
Title on cover: John Hunter and his Pupils / Prof Gross
Title Page Dates and Edition: John Hunter and his pupils. By S.D. Gross, M.D., LL.D., D.C.L., Oxon., LL.D. Cantab. Professor of Surgery in the Jefferson Medical College: President of the Philadelphia Academy of Surgery, Etc.
Publisher: Presley Blakiston, 1012 Walnut Street Philadelphia, 1881
On the second page is the signature “DL Smith, MD, May 1881”
On the title page under John Hunter is written in pen “was 5 feet 2 inches high”.
Several notes from apparently Dr DL Smith in the text.

Item Number 4
Title on cover: Memoir of Dr Mott
Title Page Dates and Edition: Memoir of Valentine Mott, M.D., LL.D., Professor of Surgery in the University of the City of New Your, Member of the Institute of France
By S.D. Gross, M.D., LL.D. First Edition
Publisher: New York: D. Appleton and Co., Philadephia: Lindasy and Blakiston. 1868
Bookplate of Alferd C. Wood, M.D., Philadephia Penna.
Inscribed note on the second page “With the authors kind regards”

Item Number 5
Title on cover: History of American Medical Literature
Title Page Dates and Edition: History of American Medical Literature. From 1776 to the present time. By S. D. Gross, M.D., LL.D. D.C L. Oxon. Professor of surgery in the Jefferson Medical College “The chief glory of every people arises from its authors.” Dr. Johnson. First Edition
Publisher: Philadelphis: Collins, Printer, 705 Jayne Street 1876

Item Number 6
Title on spine: Wounds of the Intestines
Title Page Dates and Edition: An Experimental and critical inquiry into the nature and treatment of Wounds of the intestines: Illustrated by engravings. By Samuel D. Gross, M.D. Professor of Surgery in the Louisville Medical Institute: Surgeon to the Louisville Marine Hospital: Member of the Pathological Society of Philadelphia: &c, &c.
“The honor of our art, and the moral character of its professors suffer, whenever we pay so blind a deference to any one as prevent us using our own judgments, and from declaring feely the results of our inquires or experiments.” Post. First Edition
Publisher: Louisville: Prentice and Weissinger. 1843.
Book plate from Victor Robinson Froben. Signe by O H Allis; June 68- No 225 So 9th Phila
Inscribed: “For Dr Jones. With the best regards of the authors. Louisville, June 1845.”

Item Number 7
Title on spine: A Manual of General Anatomy.
Title Page Dates and Edition: A Manual of General Anatomy, containing a concise description of the elementary tissues of the human body. From the French of A. L. J. Bayle and H. Hollard. By S. D. Gross, M.D. First Edition
Publisher: Philadelphia: John Grigg, No 9, North Fourth Street. 1828.
Stamped name Matt O Smith

Item Number 8
Title on spine: Elements of Pathological Anatomy
Title Page Dates and Edition: Elements of pathological Anatomy, Illustrated by Numerous engravings. “In morbis, sive acutis, sive chronicis, viget occultum, per humans speculations fere incomprehensibile.” Baglivi By Samuel D. Gross, M.D. Late Professor of General Anatomy, physiology, and pathological anatomy, in the medical department of the Cincinnati college. In two volumes, Vol 1 and Vol 2. First edition
Publisher: Boston, Marsh, Capan, Lyon, & Webb, and James B. Dow. 1839.
Signature and stamped name inside cover both volumes. L. P Williams, Harrodburg, Ky, 1878.

Item Number 9
Title on spine: Gross on the Urinary Organs
Title Page Dates and Edition: A practical treatise of the Diseases and Injuries of the Urinary Bladder, the Prostrate Gland, and the Urethra. By S.D. Gross, M.D. Professor of Surgery in the University of Louisville: Member of the American Medical Association; Author of “Elements of Paathological Anatomy,” etc. etc. With one hundred and six illustrations. First Edition
Publisher: Philadelphia: Blanchard and Lea. 1851
Stamped with A. H. Barkley M.D. Lexington Kentucky.
Signiture of Curran L. Smith

(to see the Gross already held by OHSU, check the online catalog)

Wednesday, December 24, 2008

Three days and counting: Library closed

And since tomorrow is Christmas and the library was scheduled to close Dec. 25-28, we'll see you after the holidays. We hope.

Monday, December 22, 2008

Snowmageddon in Portland, Oregon

I'm from Buffalo, NY, originally (actually, the Southtowns: East Aurora), but it doesn't make it any more pleasant....

OHSU Library: Closed (again)

Another Monday, another snowstorm. The OHSU Library and Historical Collections & Archives are closed today. With any luck, I'll have some photos of the weather conditions here on Marquam Hill a bit later.

Thursday, December 18, 2008

Doctor from Dallas, mystery man

Our Historical Image Collection was completely categorized for the first time in early 2000. During filing, unidentifiable images were sorted into people, places, and subjects and left to sit in folders labeled "Unidentified".

Since 2000, the miracle of high-resolution scanning has come to our desktops and allowed us to obtain valuable new clues about some of the photographs.

One such tantalizing puzzle is the image here, of an unnamed physician bending over his male patient, stethoscope employed for the physical exam. The room houses a few pieces of furniture, including two cabinets cluttered with medical paraphernalia. The walls are decorated with documents. Could a 1200 dpi scan of this print reveal any new information about our mystery doctor?

Sadly, scans are only as good as the original photograph, and this print only yielded a few more clues--and no definitive answers. The calendar on the wall was courtesy of the "Commercial Club of Dallas, Polk County, Oregon, 'The Prune City'", but the year is too blurry to make out with certainty (or, I'm old and blind. It could be that.)

There is also a broadside for the United War Work Campaign, a map of Polk County, OR, and a certificate opening with the words "The President of the United States ..." (name of awardee illegible, alas). The War Work Campaign was begun in 1918, so the photo cannot have been taken earlier than that, but the wall calendar shows August 1 as a Friday. In 1918, August began on Thursday. So we have a tentative date of August 1919 and a potential location of Dallas, OR.

Our collection of directories from the Oregon Board of Medical Examiners only goes back to 1931, and this licensee looks like he might not have made it another 12 years.

Below is a 300 dpi scan of the photo. If anyone has further information on the identity of this physician, we'd love to hear from you.

Wednesday, December 17, 2008

History and ethics

An article in this month's issue of Academic Medicine (2008, 83:1162-1164) addresses the place of history of medicine classes in the medical curriculum and makes the argument that the study of history is a vital component of the education of young physicians. (Abstract free)

The piece by Daniel K. Sokol, "Should We Amputate Medical History?", is described in the abstract as a "cri de coeur"--and indeed it is, with the author suggesting cuts to his own area of specialty, medical ethics, to make room for history of medicine in class.
This proposal is not as drastic as it sounds, for I have suggested that medical history can contain a strong ethical flavor. My own interest in medical ethics sprung from the formal study of medical history. I wanted tools to assess the moral rightness or wrongness of past practices. Medical history can fulfill a similar function as medical ethics ...
One example given by Sokol is of Semmelweis: "Indeed one cannot fail to be inspired by the astuteness of Ignaz Semmelweis, who in the mid-19th century discovered that unhygienic medical students were responsible for the high mortality rates in the maternity clinic and implemented hand washing before deliveries..."

Is the ethical lesson here that the physician should strive to improve patient care? Or is it that Semmelweis was subsequently hounded out of medicine by his contemporaries and left to die in an insane asylum? Either or both, it is a story well worth remembering.

In a similar vein, the life of Charles Thomas Jackson could profitably be used as a case study in medical ethics. A new biography of Jackson, available on this week's new book shelf at the OHSU Main Library, has been called "the first complete defense of this neglected scientist," "one of the most remarkable and maligned figures in the history of American science and medicine." A master at claiming prior discovery, Jackson promoted himself as developer of surgical anesthesia, inventor of the telegraph, and discoverer of copper deposits at Lake Superior. Like Semmelweis, the conflicts he engendered left Jackson mentally unhinged, and he died in an asylum in 1873.

The actions of men like Semmelweis and Jackson, and the reactions of their colleagues, provide cautionary tales for physicians young and old, in any era, who might seek to advance the principles and practice of medicine. Physician, read about thyself!

Tuesday, December 16, 2008

The progressive physician and the medical school library

Who realized that the records of a library could reveal so much about the culture of a medical community? Not us--until we started processing the collection, that is. We knew that the first Librarian of the University of Oregon Medical School, Bertha Hallam, was a respected and valued member of the Portland medical community, as evidenced by her correspondence with various physicians. But the culture of medicine and the work of library are woven together in documents like one titled "The progressive physician and the medical school library," dated October 1, 1968.

Under discussion is a resolution by the Multnomah County Medical Society calling for the Oregon Medical Association to increase its support of the University of Oregon Medical School Library, the only health sciences library in the state (interesting that MCMS would call on another organization to do this, rather than resolve to increase its own support, but there you have it).

Herein, we find--among other things--that King County Medical Society in Washington was then assessing individual members $15 annually for library support, while the Spokane Medical Society assessment was up to $27.50 per year. MCMS is suggesting $3-5 per physician. Of course, the four-page document lays out several reasons why other physicians think this is too much.

Library services in support of continuing medical education are then outlined, and specific improvements to the UOMS Library are listed. Here's where we find the truly amazing statement that "Parking problems have been solved."

What??!! In all our years reading through documents, listening to oral histories, and thumbing through photographs of OHSU history, never, NEVER, have we encountered any claim by any individual or unit that parking was good, or even adequate, let alone solved! Truly, our predecessors humble us with their skill and power.

(Lest anyone question why we're spending valuable processing time--of any level-- on the library records, let us assure you that it really is necessary, since they have come to the archives, and continue to come to the archives, in complete and total disarray, making it impossible to locate any specific, requested information without rooting through every box.)

Monday, December 15, 2008

Library CLOSED

OHSU Library and Historical Collections & Archives will be closed today due to inclement weather. We apologize for any inconvenience.

Friday, December 12, 2008

More from Miller: Dr. Gentle, abortionist

Another excerpt from the recently acquired transcript of the W. Richey Miller, MD, oral history--because it's such great stuff! Here, Miller talks about the Eugene medical community and abortions:
Johnston: Is this the doctor that did abortions? There was a doctor–

Miller: Yes.

Johnston: Tell me about it.

Miller: That was our famous Dr. Gentle. He did abortions in Eugene, the only doctor who did. And he did them very well. And almost never got into trouble. If there was any difficulty at all, he could immediately send the patient into the hospital, and there would be a skilled surgeon immediately available who could take care of whatever the problem was. And the entire community, the medical community and people generally, were very happy with this arrangement. Because if Dr. Gentle wasn’t there doing abortions, then it would be somebody else, not a doctor, who didn’t know anything about it, who was just sticking a probe into the uterus, and hoping that aborted the person, and hoping they didn’t perforate the uterus or something. Many people died from those abortions that were called back-alley abortions. So everybody was very happy with Dr. Gentle, who they knew could be trusted and everything would be all right.

And then, one of the doctors for some reason decided that he didn’t like that and he was going to turn Dr. Gentle in, which he did. And they set up a deal for the cops to walk into his treatment room in his office just as he was starting an abortion. So he was convicted and sent to prison. And it happened to be my job to do a physical examination on him before he went to prison. That was a requirement at that time, anyway. So we talked about his career during that examination. And I asked him if he was disappointed or wished he had never done this, and what did he think about it now.

“Oh,” he said, “I just have one regret.” And he said, “That’s because of the people I took care of.” He said, “I’ve worked for doctors and lawyers and businessmen and college professors, and judges.” He said, “Yes, even judges, I’ve worked for. And still, that system is sending me to prison.” He really didn’t like that. And this was a fellow who was well respected in the community. He had a home in a nice neighborhood with nice neighbors.

One of his neighbors was my patient, and she told me what transpired. She went to see him in prison, she and her husband. And she told me about his homecoming. He was in prison about four years, I think. And when he was released, the neighborhood had a big party, welcome home party, with flowers and balloons and cards and everything. Decorated outside his home. And he got a most cordial welcome home and sympathy and appreciation from all of these neighbors. So that’s the way abortions were then.

Thursday, December 11, 2008

Race and medicine in Oklahoma

The latest oral history interview transcript available from the history of medicine in Oregon project is that of Dr. William Richey Miller, MD, an internist who practiced in Eugene, OR, from 1949 to 1984.

Dr. Miller is a native of Oklahoma and attended the University of Oklahoma Medical School in the late 1930s and early 1940s. Interviewer Hugh Johnston, MD, asked Miller about his experiences with race during that time:
Johnston: So they had a separate ward based on color at that time?

Miller: Yes. That’s right.

Johnston: Can you tell me something about how that related to things at the time?

Miller: Well, everything seemed to go along all right, until somebody in the state legislature complained that student nurses, these young girls, he said, were working in the colored wards at the hospitals.

Johnston: White girls.

Miller: They were all white girls. All of them. And they were taking care of these patients on the colored ward. And even to the extent they were carrying bedpans, sometimes, for them. And that was absolutely intolerable. So the legislature decided to call the dean of the medical school out to testify about this. And he went prepared, though. He took a poll of all the student nurses, secret poll, and he went with this poll to a formal session of the Oklahoma state legislature. And they asked him about this practice of the nurses carrying bedpans and all sorts of things like that, doing for these colored patients. And he said, “Yes, that’s quite true.”
And he was asked, “Well, what do you think about this going on?”
“Well,” he said, “I think it’s more important to know what the student nurses think about it, not what I think about it. So I asked them. I took this secret poll and only asked them one question: Which place do you prefer to work in the hospital, on the white ward or on the colored ward?”
And the poll came back, I think it was something, there were only one or two students who said they preferred the white ward. Everybody else preferred the colored ward. And that kind of ended the legislative session. They thanked him very much for his coming out. And that was the end of that.
The reason I think the student nurses preferred that was just because they found the, overall, the colored patients were nicer and more appreciative, and people just enjoyed taking care of them.
I saw that in the homes where we went to deliver babies. A junior medical student and a senior medical student would go out in a pair to the home to deliver babies. And it was, I observed, and almost all the medical students agreed with me, all of whom were white, that we preferred to go to the colored homes rather than the white homes. And the reason, again, was, as I saw it, it was a more pleasant experience. The homes were cleaner and the people were nicer, and they appreciated very much what we were doing. It was just a more pleasant experience.

Wednesday, December 10, 2008

"You do right"

The oral history interview with Dr. R. Ellen Magenis yesterday lived up to expectations, as Dr. Magenis regaled us with the story of her early experience in the Gary steel mills, talked about her lifelong love of scientific inquiry, and shared anecdotes about the patients she encountered in her medical genetics clinics--especially Jessie, one of the first diagnosed with what would later be called Smith-Magenis Syndrome.

We learned that Kinsey's lectures were about more than sex (although students were compelled to participate in the sex surveys), and that James Watson was easy to pick out of a crowd of graduate students, even back then.

Magenis also spoke at some length about the influence of her parents on her career path: her father, the frustrated scientist, who pushed his daughter to go into medicine rather than zoology; and her mother, who taught her children to "do right" above all.

The video and transcript of the interview will be available in the OHSU Library after processing, so check back for complete details.

Tuesday, December 09, 2008

A piece of history

Today, we welcome into the History of Medicine Room a new artifact of university heritage: the desk of Dean David W.E. Baird will replace the desk currently assigned to the Head of Historical Collections & Archives. While we eagerly await the movers, possessions in piles, we share with you some photos of the man and his desk:

Sept. 16, 1949: Dr. Baird's office on day of moving into Administration Building (later renamed after him as Baird Hall). Left-right: "man from Business Equipment Bureau," Dr. Baird, Bill Zimmerman.

KPTV filming, April 1963. Left-right: Thelma Wilson, MaryAnn Ademino Lockwood, Hal Lesser (KPTV), Ed Arndt (KPTV), Dr. Baird.

Monday, December 08, 2008

Oral history interview: R. Ellen Magenis, MD

Tomorrow, Oral History Program interview number 106 will be conducted with Dr. R. Ellen Magenis, MD, professor of medical genetics and director of the Cytogenetic Laboratory and CDRC Chromosome Clinic at OHSU. Dr. Magenis will be interviewed by Dr. Susan Hayflick, MD, professor and interim Chair of the Department of Molecular & Medical Genetics and professor in pediatrics and neurology.

Dr. Magenis completed her undergraduate education at Indiana University, Bloomington (BA, Zoology, 1946) before entering the medical school there. After graduating in 1952, she completed a one-year internship at the University of Iowa Hospitals. In 1964, she relocated to Portland and took a second internship at the Portland Sanitarium. A residency in pediatrics at the University of Oregon Medical School followed, along with a fellowship in medical genetics (also at UOMS). In 1965, she joined the faculty of the Crippled Children's Division (now CDRC); more than forty years later, she is still accepting patients to her clinics.

Her many research interests include human gene mapping and numerical and structural aberrations of chromosomes; Prader-Willi/Angelman, Velocardiofacial, and Smith-Magenis syndromes; chromosome abnormalities in malignancy; origin of germ cell tumors in children and adults; melatonin levels in Sleep-disordered Smith-Magenis Syndrome; and problems in sex determination. The syndrome that bears her name is a chromosomal disorder characterized by a recognizable pattern of physical, behavioral, and developmental features. It is caused by a missing piece of genetic material from chromosome 17, referred to as deletion 17p11.2.

Among other honors and awards, Dr. Magenis was named the 1999 Professional of the Year by the Arc of Multnomah County for her commitment to the diagnosis, counseling, and treatment of people with genetic diseases and chromosome abnormalities.

In this era of targeted therapies and gene mapping, we are thrilled to be able to record Dr. Magenis' thoughts on where we have been and where we are going in medical genetics.

Friday, December 05, 2008

Portland in pictures

Local author Donald R. Nelson has just published a new book on Portland history: The South Park Blocks, a neighborhood history is now available for purchase, just in time for the Christmas holiday.

We here in Historical Collections & Archives became aware of the new project several months ago, when Nelson was searching for information on L. Victoria Hampton, MD, an 1889 graduate of the Willamette University Medical Department. Hampton maintained an office at 475 W. Park from 1896 through 1920. The South Park Blocks features Dr. Hampton's office and an illustration of her by Nelson (we have no photographs of her here in the collections, alas).

You can talk with Nelson about his new endeavor, and meet other Oregon authors and artists, at Holiday Cheer: A Celebration of Oregon Authors and Artists being held this Sunday, December 7, at the Oregon Historical Society. A complete list of participants is available from the OHS web site. Plus, I see that there will be juice, cookies, and vodka--just what the economy ordered!

Thursday, December 04, 2008

How much is that volume in the closet?

The value of books has been much on my mind in the past few weeks. Not the cultural value of books, or their intellectual value, or the value they impart to young minds or society at large. No, just the money, ma'am. Of course, to some extent, the market value of books reflects their greater cultural value--Gutenberg Bibles being expensive for good reasons. Oftentimes, though, market value reflects purchasing trends or societal fads--first editions of Harry Potter books, for example, are expensive for different reasons than incunabula.

Establishing a market value for old and/or rare volumes is the province of certified appraisers, and I always urge people who ask my advice on such matters to get themselves qualified help. When appraisers aren't an option and one just wants a sense of the approximate value of a given title, one can turn to some great resources on the web. Since I myself have been using a few of these sites heavily of late--and since this is the season of sharing--I share three musts and a handy below:


For trustworthiness in matters of market value, certified appraisers can't be beat. Happily, many of them list their current stocks on the International League of Antiquarian Booksellers' web site here.

Because not all reputable dealers belong to ILAB, you can also find great information on book values from viaLibri, a free site that provides cross-site searching of 18 online sales catalogs of rare and used books, as well as individual booksellers' sites. It does include ILAB-LILA, so you could start and end your searching here, but you also get a lot of what I might call "extraneous" listings. The thing I like about viaLibri (besides the name) is that you can see a huge range of sellers' prices for most titles, and you get to know who values books high and who sets prices lower. This information will help you interpret the information you're seeing--and will also come in real handy when you go to buy something later. (And, if you get frustrated with the huge numbers of hits for popular titles, you can uncheck certain databases in the upper right corner of the main search page.)

Your Old Books
Really the best place to start, if you are new to the used and rare book market, is Your Old Books, a publication of the Rare Books and Manuscripts Section of the American Library Association. Plus, there's a little section on donating your books to a library (in case you decide they're not worth selling for cash!)


ABC for Book Collectors (PDF)
For amateurs who don't have a sense of how to read booksellers' blurbs and want to know more of the lingo, John Carter's must-have reference is available online from our friends at ILAB-LILA.

Wednesday, December 03, 2008

Where's the beef?

Is it the "Iowa & Boston"? Could be....
A light-hearted take on the holiday meal for these serious times:

[Item from the University of Oregon Medical School Library Records, Accession No. 1998-015]

Tuesday, December 02, 2008

Financial cycles: nothing new under the sun

News outlets began reporting yesterday afternoon on a financial assessment issued by OHSU Monday morning--negative impacts of the economic downturn on major employers still passing as news. The details of the current belt-tightening plans can be seen in stories from the Oregonian, the Portland Business Journal, and the Portland Tribune. But historical perspective on the crisis can be found in the archives, where we learn that financial ups and downs are as predictable as the Oregon seasons of rain and sun.

In July of 1980, then University President Leonard Laster wrote a memo to the (then) UOHSC community about the hard times that were just coming upon them. He begins his memo strongly: "Despite indications to the contrary, I am absolutely confident that the Health Sciences Center will continue to exist and prosper for decades to come, serving the people of Oregon as a unique, invaluable, outstanding, and cherished university. The rumors of our institutional demise are grossly exaggerated."

Rising to the rhetorical moment, he builds over four paragraphs to the stirring conclusion:
Since the announcement of our situation, I have received countless calls from supporters in all types of professional pursuits in which they voiced their vigorous commitment to the future of the Health Sciences Center. We are not alone. We are not undervalued. We shall continue our upward thrust toward greater achievement in the service of humanity. From today's adversity we shall pluck tomorrow's triumph. Let us evidence no despair but rather renewed confidence in our mutual destiny.
And so it goes. And so go leaders.

Monday, December 01, 2008

In memoriam: Roy Laver Swank, 1909-2008

A small obituary notice in Saturday's Oregonian alerted readers to the death of Roy Laver Swank, M.D., four months shy of his one hundredth birthday.

Dr. Swank was born in Camas, WA, in 1909, and attended the University of Washington as an undergraduate. He obtained an M.D. and a Ph.D. from Northwestern University in 1935. After completing his internship and residency at the Peter Bent Brigham in Boston, he took fellowships in pathology (Harvard), physiology (Karolinska) and neurology (Montreal Neurological). Swank returned to Boston and joined the staff at the Brigham and at Harvard Medical School, where he became an instructor in neurology. In 1948, he moved to Montreal to join McGill University as an assistant professor of neurology. It was in Montreal that Swank first began to investigate multiple sclerosis, and first developed the idea for the Swank low-fat diet.

In 1954, Swank came to Portland to serve as chief of the Division of Neurology at the University of Oregon Medical School. In 1961, he developed a blood filter for removing microemboli from the blood. In 1972, he published the first edition of his well-known book, The Swank Low-Fat Diet. In the early 1980s, Swank and Arthur J. Seaman confirmed the abnormality of plasma in MS patients and began experimenting with plasma transfusions as treatment for MS symptoms. For many years after his official retirement from the chair of neurology in 1974, Swank continued to see patients and conduct research on MS.

In his oral history interview with Joan Ash in 1998, Swank talks about his education, his research, and his years administering the Division of Neurology at UOMS. Along the way, he compares medical school to pulling ice (but with alcohol):
SWANK: So in those four years at medical school—now that we’ve gotten out of the university—I got interested in research, because that was part of the job, to do research, and I was allowed—I chose, really, a job similar to what my friend had been doing. I was going to work out the pyramidal tract, which was the cortical-spinal tracts from the brain down to the legs, in the rabbit, because they hadn’t been done satisfactorily. And I went to work and diligently worked hard. I was a hardworking individual, anyway. At the age of fourteen I had gotten a job pulling ice in the local butcher shop, there in Camas, and they paid me the top wage because I pulled ice so well. I even delivered ice for a while. I was not very big at that time.

ASH: What do you mean, pulled ice?

SWANK: You know, they freeze it; then you’ve got to pull it out of the freezer.

ASH: So it was heavy?

SWANK: Yeah. You had to slide it into a cooling area. My father, at the advice of the doctor, wouldn’t let me continue the next year because it might break my bones somehow or other and I wouldn’t get full growth, and that went by. But, nonetheless, it just gives an idea of the kind of—of how I enjoyed working and I was quite willing to work very hard.

Well, that’s what I did in medical school, too. I spent an enormous amount of time on my research, and I had to take the schoolwork also, along with it. I remember so well, I’d come back to the fraternity Saturday night, after I’d been working all day Saturday, and they’d be having a big party, and everybody was a little bit drunk, because that was time of—hard liquor was the common thing and the manly thing to do. I remember my only experience was, well, I’d go on in and see if everybody was having a good time, girls and boys and so forth, and I would have a few drinks, get sick, and come out and vomit on the steps, and go back to bed [laughter].

Wednesday, November 26, 2008

I'm thankful for...

... the protection our storage facility has provided and is providing for books over a century old.

... the care and attention of shelvers everywhere, since they help maintain books over the long term.

... pretty books.

Below are the most recent winners of the Gimme Shelter contest, which pits every deserving classic we own against the space constraints of the historical collections. These happy few will be spending their first long holiday weekend in the History of Medicine Room. The staff will not be joining them: a reminder that we're closed Nov. 27-30 for Thanksgiving.

Albers-Schönberg, Heinrich Ernst, 1865-1921.
Die Röntgentechnik; Lehrbuch für Ärzte und Studierende.
Hamburg, Gräfe & Sillem, 1903. (also transferred: the 1906 edition, shown here)
The first edition of this important work from Albers-Schönberg, a German radiologist and surgeon. 1903 was also the year in which Albers-Schonberg discovered that exposure to radiation caused damage to the reproductive glands of rabbits, and in which developed his compression diaphragm. The 1903 edition has a rather standard half leather binding, but the 1906 has a lovely art deco design on gray cloth. OHSU copy donated by Portland radiologist J.R. Raines, and bearing signature and stamp of Dr. Chr. Deetjen. GM 2496.

Cohn, Toby, 1866-1929.
Electro-diagnosis and electro-therapeutics : a guide for practitioners and students ... Translated from the 2nd German edition and ed. by Francis A. Scratchley ... with eight plates and thirty-nine illustrations.
New York and London, Funk & Wagnalls company, 1904.
Cohn was a German neurologist and psychiatrist, and student of Carl Wernicke. OHSU's copy has a presentation inscription from the translator. The book includes eight line drawings with tinted rice paper overlays, making it an early example of this type of book illustration.

Cova, Felice.
Atlas thoracoscopicon.
Mediolanum : Sperling & Kupfer (successores), 1928.
This trilingual atlas was published in 1928 in Italy by Felix Cova, with a preface by Jacobaeus. It describes several common conditions of the lung and pleura and carefully illustrated the Jacobaeus operation. Some plates, again, with paper overlays. The work is now apparently quite scarce. OHSU copy lacking Tavola II.

Crile, George Washington, 1864-1943.
Hemorrhage and transfusion : an experimental and clinical research.
New York : Appleton and Co., 1909.
Crile made many important contributions to our understanding of shock. OHSU copy with signature of A.W. Baird. GM 4808.

Cushing, Harvey, 1869-1939.
Papers relating to the pituitary body, hypothalamus and parasympathetic nervous system.
Springfield, Ill., Thomas, 1932.
"This volume contains Dr. Cushing's four principal contributions on pituitary-hypothalamic interrelationships: (1) the first is his Lister Memorial Lecture, 'Neurohypophysial mechanisms from a clinical standpoint,'...The lecture as originally published in the Lancet was abbreviated and illustrations were omitted. The present reprint contains the full text with 24 halftone illustrations. (2) The second section contains the series of eight [papers].... which appeared under the general title 'Posterior pituitary hormones and the parasympathetic nervous system."... (3) The third section is a reprint of Dr. Cushing's original description of the syndrome of pituitary basophilism which is now widely referred to as 'the Cushing syndrome.' It also includes the Addendum on pituitary basophilism. (4) The fourth section, 'Peptic ulcer and the interbrain' is [a reprint]...of the Balfour Lecture. It contains a colored illustration showing haemorrhagic erosions and perforation of the stomach. An edition of 1775 copies was issued." Cushing Biblio, 20. OHSU copy with stamp of early Portland electrocardiologist Homer P. Rush.

Dandy, Walter Edward, 1886-1946.
Benign tumors in the third ventricle of the brain: diagnosis and treatment.
Springfield, Ill., Baltimore, Md., C.C. Thomas [c1933]
First edition of Dandy's classic work, describing 21 cases. OHSU copy with signature of A.J. McLean, M.D., and a typescript of McLean's review of the book tipped in at end.

Dejerine, J. (Joseph), 1849-1917.
Sémiologie des affections du système nerveux.
Paris, Masson, 1914.
Dejerine is widely considered to be the most important successor to Charcot at the Salpetriere. He was a great clinical neurologist, and his works--including this one--are still used today. OHSU copy donated by John Brady. GM 3966.

De Lee, Joseph B. (Joseph Bolivar), 1869-1942.
The principles and practice of obstetrics ... with 913 illustrations, 150 of them in colors.
Philadelphia and London, W. B. Saunders Co., 1913.
First edition of this text from the prominent obstetrician De Lee, who established the first "incubator station" for premature babies at the Chicago Lying-In Hospital in 1898. OHSU copy with the signature of Harry C. Blair.

Drake, Daniel, 1785-1852.
An inaugural discourse on medical education delivered at the opening of the Medical College of Ohio in Cincinnati, 11 November 1820 ; with an introduction by Emmet Field Horine.
New York : Schuman, c1951.
Limited edition reprint of the 1820 original, an early work by one of the first great physicians in the West. When it opened in Cincinnati in 1820, the Medical College of Ohio was only the second medical school west of the Alleghenies, with an inaugural class of twenty-four students. Speaking at the opening of the medical college he founded, Dr. Daniel Drake discusses the various branches of medicine, their contributions to society, the importance of Cincinnati as a growing metropolitcan center, and the need for higher standards in medical education. The text is prefaced by a memorial from Drake to the General Assembly of Ohio pleading for continued and increased funding for his institution. Drake was the founder and president of the Medical College of Ohio, though his tenure at the college was a short and stormy one, as the faculty tried to expel him in 1822, and Drake left the school shortly thereafter.

Ghon, Anton.
The primary lung focus of tuberculosis in children.
London, J.A. Churchill, 1916.
First English edition of this work, in which Ghon describes the anatomical distribution and development of the lesions in pulmonary tuberculosis in children. OHSU copy donated by Ralph C. Matson, prominent tuberculosis specialist, with his signature. GM 2970.

Golgi, Camillo, 1843-1926.
Opera omnia.
Milano, Ulrico Hoepli, 1903.
Complete works to date, issued 1903 years before he was awarded, along with Ramon y Cajal, the Nobel for studies of the structure of the nervous system. Vol. 1: Istologie normale, 1870-1883 -- v. 2: Istologia normale, 1883-1902 -- v. 3: Patologia generale e isto-patologia, 1868-1894.

Guthrie, Charles Claude, b. 1880.
Blood vessel surgery and its applications.
London : Edward Arnold ; New York : Longmans, Green & Co., 1912.
This book describes Guthrie's pioneering work in tissue and organ transplantation. Guthrie performed classic experiments with Alexis Carrel on the transplantation of tissues and helped develop the field of vascular surgery. GM 5756.6.

Hammer, William Joseph, 1858-1934.
Radium, and other radio-active substances; polonium, actinium, and thorium, with a consideration of phosphorescent and fluorescent substances, the properites and applications of selenium and the treatment of disease by the ultra-violet light.
New York, D. Van Nostrand company, 1903.
Hammer was the first to recommend radium for use in cancer treatment. He also invented luminous radium preparations used in watch dials, clocks and other instruments. Hammer was an assistant to Thomas Edison, later Chief Engineer of the Boston Edison Company, Edison"s representative at the Paris Exposition of 1889, and made an discovery that led to the electron tube. His work preceded Marie Curie's Recherches sur les substances radioactives by a year. OHSU copy donated by J.R. Raines, with presentation inscription from author to Frank E. Miller, and signature of Otto Glasser.

Harvey, William, 1578-1657.
The anatomical exercises / of Dr. William Harvey. De motu cordis 1628: De circulatione sanguinis 1649: The first English text of 1653 now newly edited by Geoffrey Keynes.
London : The Nonesuch press, [1928]
A lovely piece from the heyday of the Nonesuch Press. This volume contains the first English text of 1653, edited by Geoffrey Keynes. The volume contains two works, De Motu Cordis, 1628, and De Circulatione Sanguinis, 1649. This volume was issued in 1450 copies, to celebrate the tercentenary of the first publication of De Motu Cordis. OHSU copy with bookplate of Laurence Selling.

His, Wilhelm, 1831-1904.
Die Entwickelung des menschlichen Gehirns während der ersten Monate.
Leipzig : S. Hirzel, 1904.
His is considered to be the father of histogenesis. After qualifying for the M.D. degree at Basel in 1855, he became an instructor in histology before his appointment in 1857 as professor of anatomy and physiology at the university. In 1872 he moved to Leipzig to became professor of anatomy and head of the Institute of Anatomy. OHSU copy donated by W.F. "Pop" Allen, with his stamp.

The Jefferson Medical College of Philadelphia : benefactors, alumni, hospital, etc., its founders, officers, instructors, 1826-1904 : a history / edited by George M. Gould.
New York : Lewis, 1904.
A testament to the insatiable collecting habits of our first Librarian, this lovely set, with its gilt foredges and heavy (heavy) bindings has weathered numerous collection moves well. Included are photographs and biographical information on many of the notable names in medicine from Philadelphia.

King, E. S. J. (Edgar Samuel John), 1900-
Surgery of the heart.
Baltimore : Williams & Wilkins, c1941.
A nice copy of this first edition, which contains a good deal of historical material as well as clinical information. OHSU copy with presentation inscription from Ralph C. Matson to the University-State Tuberculosis Hospital, Dec. 1943. GM 2783.

Krogh, August, 1874-1949.
The anatomy and physiology of capillaries.
New Haven, Conn., Yale University Press, 1922.
The better of two copies of this important work on blood flow through the capillaries from the 1920 Nobelist Krogh. GM 793.

Lower, Richard, 1631-1691.
De catarrhis, 1672. Reproduced in facsimile and for the first time translated from the original Latin, together with a bibliographical analysis, by Richard Hunter and Ida Macalpine.
London, Dawsons, 1963.
A third facsimile of a Lower work comes into Historical Collections & Archives (no originals in house, yet), this being the work in which Lower showed that nasal mucus did not originate in the brain.

Nascher, I. L. (Ignatz Leo), 1863-
Geriatrics : the diseases of old age and their treatment, including physiological old age, home and institutional care, and medico-legal relations ... with an introduction by A. Jacobi, M.D. With 50 plates containing 81 illustrations.
Philadelphia, P. Blakiston's Son & Co., [c1914]
The first modern treatment of geriatrics from the man who coined the term. I find it interesting that the introduction is provided by Abraham Jacobi, father of pediatrics. GM 1641.1.

Osler, William, Sir, 1849-1919.
Lectures on angina pectoris and allied states.
New York : D. Appleton and Company, 1901, c1897.
It's Osler. Enough said.

Turner, William Aldren, 1864-1945.
Epilepsy : a study of the idiopathic disease.
London : Macmillan, 1907.
This fundamental monograph on epilepsy was based on a series of earlier, rather heavily statistical, personal publications dealing with various aspects of the disorder. OHSU copy with signature of Laurence Selling.

Ulmann, Doris, d. 1934.
A book of portraits of the faculty of the Medical Department of the Johns Hopkins University, Baltimore.
Baltimore : Johns Hopkins Press, 1922.
A rather nice copy (all things considered) of this rare volume by one of the leading female photographers of the 20th century.

United States. Surgeon-General's Office.
Report on the origin and spread of typhoid fever in U. S. military camps during the Spanish War of 1898 / by Walter Reed, Victor C. Vaughan, and Edward O. Shakespeare.
Washington : Govt. Print. Off., 1904.
Two-volume set, with numerous maps and charts--including metereological data and military camp layouts.

Tuesday, November 25, 2008

The Case for Family Medicine

Newly received: the transcript of the oral history interview with Dr. Laurel G. Case, M.D., retired general practitioner, founder and former chair of the OHSU Dept. of Family Medicine, and past president of the Oregon Academy of Family Physicians.

Dr. Case received his M.D. from the University of Kansas in 1949. After a stint in the Navy and few years of general practice in Kansas, Dr. Case moved with his family to Medford, OR, in 1955. In 1969, Dr. Case relocated to Portland, becoming the first chair of the new Dept. of Family Medicine at the University of Oregon Medical School. Under his direction, the department began a residency program; the first residents entered the program in 1971 and the University's family practice residency served as the state's only residency in the field until 1994. He served as a member of the Advisory Council established to assist in the formation of the University of Oregon Health Sciences Center, which incorporated the schools of medicine, nursing, and dentistry into one university. Dr. Case was also the first medical director of the Physician Evaluation, Education, & Renewal Program of the Oregon Medical Association.

In his interview, conducted as part of the history of medicine in Oregon documentary project, Case takes listeners from his earliest years in Kansas to his predictions of medicine in 2025. In two excerpts below, we hear about the infamous Dust Bowl storms of the 1930s and about Case's decision to enter medicine:
Case: I started to high school at Little River, Kansas, at the same town where I was born in the hospital. And I went there, I started there as a freshman in let’s see, what was it? Hmm, well, anyway, I graduated in 1940. So it had to be like ’36, you might say. Four years. The only thing is that I didn’t finish there because we had dust storms in Kansas. And we lived during that time when we had no rain for a number of years, and the wind would kick up dust storms from Oklahoma and bring them up to Kansas. It was sort of like dumping snow on top of a fence row. Only it was dust, all dust, instead of snow. And we had those for oh, about two years. We had no rain for two years. And so it was a little bit difficult.

And so my parents decided to move to Eastern Kansas, because they didn’t have all these dust storms. They had good crops and fields and trees. We had flat, just flat Kansas soil, most of which ended up in our house during that period. [laughs] So it was not really a pleasant kind of life at that time. However, we did move when I was a sophomore or a junior, the middle of my junior year, we moved to Eastern Kansas. And I transferred to the high school at Osage City, Kansas, which is about fifty miles south of Topeka. And down there we had a river on our farm, and lots of trees, and no dust. [laughter] It was fun.
Kronenberg: What made you decide to want to be a doctor? What factors were involved?

Case: Well, I think, it’s hard to know for sure whether what happened is the reason why I ended up going in medicine or not. But when I was in grade school, probably seven years old, my father had a heart attack out on his farm. And we had, the doctor, in fact, the doctor that delivered me was still practicing in that little town. And he came out to the house to see my dad. And it happened to be on the day, two days before Christmas. And he was in bed. And he came out and saw him and left, and left medicine for him. And he didn’t get along very well.
And after maybe a few weeks in bed at home with my mother trying to take care of him, she called to see if the doctor would come out again and look at him, because she was worried about him. So he said to her, “Well, I trust that you will have the money to pay me for this.” And she didn’t. And he didn’t come.

And there was another doctor there in that same town, a newer doctor, and a younger. And so my mother called him and he came right out. Didn’t even mention anything about the pay. And he made house calls after that until my dad was better. And he got well. He recovered completely. So everything turned out fine.

But I was just at a very impressioned age, at an age where I was very, very worried about my dad. Maybe six, seven years old. And somehow or other my mind took that in. I just couldn’t believe that somebody would refuse to take care of a sick patient because they didn’t have the money to pay for it. And that’s when I started my heading toward medicine. And I never varied from it from that point on.

Monday, November 24, 2008

The eponymous Emma Jones

A question last week about the woman after whom OHSU's Emma Jones Hall is named revealed a surprising lack of documentation about the early superintendent of nursing at Multnomah County Hospital.

We did uncover one photograph of Mrs. Jones, in a group portrait of the hospital's nursing staff taken in 1917. She is shown wearing the distinctive cap of the nursing school at Cook County Hospital in Chicago, whence she graduated following the death of her husband. In 1917, Jones came to Portland and took a position at the county hospital, becoming superintendent in 1919 at the departure of the nurses unit of the 46th Base Hospital, headed by then superintendent Grace Phelps. Jones remained on staff at MCH until 1944, when she retired and moved back to Chicago.

According to the School of Nursing Class of 1943, the building now known as Emma Jones Hall was so named "In consideration of Mrs. Jones’ long service here and her innumerable contributions in instigating, planning, and attaining, a home for nurses..."

If any community members have additional information about Emma Jones or her work here in Portland, we'd love to hear from you.

Friday, November 21, 2008

TODAY: History of Medicine Society Lecture

A reminder that today at 12:15 in the OHSU Old Library Auditorium, we will be kicking off the 2008-09 season of the OHSU History of Medicine Society Lecture Series. The event is free and open to the public, so please join us!


“Viral Hemorrhagic Fevers: Yesterday and Tomorrow”
Guest speaker: Joseph B. McCormick, M.D., Regional Dean and James Steele Professor, University of Texas Health Science Center

Friday November 21, 2008
Public lecture: 12:15 p.m.
Refreshments served at noon
Location: Old Library Auditorium

In 1977, Dr. McCormick founded the CDC Lassa fever Research Project in Sierra Leone. There, he conducted extensive and definitive studies of the epidemiology and treatment of Lassa hemorrhagic fever, publishing a landmark publication in the New England Journal of Medicine on effective antiviral treatment for this disease.

He returned to Atlanta in 1979 and became Chief, Special Pathogens Branch, Division of Viral Diseases at the CDC, directing the Biosafety level 4 laboratories for 9 years. He subsequently led the original team that did the first AIDS investigation in Africa and established the Project SIDA in Kinshasa, Zaire, and later the Project Retro-Ci in Abidjan, Ivory Coast. In 1993, he became Chairman, Community Health Sciences Department, at the Aga Khan University Medical School (AKU) where he established an epidemiology program resembling the CDC Field Epidemiology Training Programs, and a Masters' degree in Epidemiology. In 1997 he moved to France where he founded epidemiology programs for the Institute Pasteur and for Aventis Pasteur. He returned to the US in 2001 to start a new regional campus of the UT-Houston School of Public Health in Brownsville.

Thursday, November 20, 2008

Richer on La grande hysterie

Another fantastically illustrated volume from the History of Medicine Collection is Paul Marie Louis Pierre Richer's Études cliniques sur la grande hystérie ou hystéro-épilepsie (1885). Normally disguised by a very mundane grey buckram binding, it caught my eye during one of the many recent shifts of materials in the History of Medicine Room.

Well known not only as a clinician but also as an anatomical illustrator, Richer here took the opportunity to let his talents shine. The text is peppered with dramatic representations of various states of "hysteria," or convulsions. Shown here is planche VI, one of the less risqué images (showing, as it does, a male sufferer).

Wednesday, November 19, 2008

Readers' advisory

Two notes on important developments here in the History of Medicine Room, for researchers thinking to visit us in the coming month:

First, the good news.
Wireless Access Now Available!
Wireless hubs were installed in HC&A spaces this morning. Researchers with laptops will be able to access the internet using the OHSU guest network. Mirabile dictu!

Now, the bad news.
Construction Update:
Work has begun in earnest on the surgical simulation lab going in downstairs. From now through December, there will be periodic disruptions and noise in the building.

Also, this is a good time to note holiday closures for HC&A, which are the same as those for the OHSU Main Library: Christmas Day and Dec. 26, New Year's Day and Jan. 1.

Tuesday, November 18, 2008

Help Wanted: Russian readers

Last Friday, we received from a local practitioner three Russian LPs (yes, that's LP as in vinyl records). The materials were presented to Ralph Crawshaw, MD, on the occasion of his trip to Russia in the 1970s on a US-USSR scholar exchange program. Dr. Crawshaw neither speaks nor reads Russian, and sadly, we have no Russian readers on staff here at Historical Collections & Archives (we cover a lot of languages, but not this one!)

So, for any volunteers out there, here are scans of the front covers of the three albums (click on each for larger images). We'd love to hear from you if you know what these are!

Monday, November 17, 2008

Envisioning Oregon, Part I

This morning, the first of several planned town hall meetings for the "Envisioning Oregon" project took place at the Oregon Historical Society. A group of over twenty representatives from cultural heritage institutions in and around Portland gathered to begin discussions on the project's stated goal of identifying, collecting, and making accessible Oregon's documentary heritage by means of active collaboration and cooperation between repositories.

Being a relatively small repository, we wholeheartedly embrace the premise that a single institution cannot effectively or efficiently collect in all areas; that cooperation between institutions benefits both donors and repositories; and that collaborative collection development is required if we hope to preserve the full range of cultural materials that are necessary to any study of a given society. This morning's discussions made it clear that we are not alone in thinking this way, and we're looking forward to working with others and hearing more from the project's leaders as discussions continue across the state.

One notable feature of this morning's meeting was the presence at the table of a number of small repositories (besides ourselves!), such as the archives of the Holy Trinity Greek Orthodox Cathedral, the Oregon Jewish Museum, the Oregon Nikkei Legacy Center, and Philip Foster Farm, among others. Even with this representation, we could all think of at least one other small repository or collection that was not yet represented. So, a call to all readers: if you work at or volunteer at a small repository, or belong to an organization or institution that has a collection of archival or museum materials, and you're interested in being part of this dialog, please contact the project lead, James Fox, for more information and/or a copy of the survey. You have nothing to lose but your anonymity! :-)

Friday, November 14, 2008

Book release party

Readers resident in the La Grande or Pendleton areas take note: next week, Dick Roth will be releasing the second edition of his history of Hot Lake, The Hot Lake story : an illustrated history from pre-discovery to 1974, at the Pierce Library on the campus of Eastern Oregon University.

From the announcement:
Hello everyone!
The official release of the 2nd Edition of The Hot Lake Story and author's signing will be held in the Pierce Library on Eastern Oregon University's campus Thursday, November 20 from 4 to 6 p.m. There is already quite a bit of Hot Lake memorabilia on display in the library in preparation for the signing next week. On the following day (Fri. Nov. 21) there will be a signing on the Umatilla Indian Reservation in Pendleton from 2 to 4 p.m. at the Tamastsklit Cultural Institute.

People who purchase books at the event will be able to have them stamped with the Hot Lake postmark of November 20, 1928 and signed by myself.

There will be a DVD player showing some 50 day early photos of Hot Lake from glass plate negatives taken during the period of 1888 to 1900. The majority of these were taken by Lee Moorhouse, an early day photographer from Pendleton, Oregon and former Indian Agent on the Umatilla Indian Reservation. Finished photos from the glass plate negatives in 12-inch x 18-inch and 8-inch by 10-inch formats will also be available for viewing. Some of the photos have been included within the 2nd edition through the courtesy of the University of Oregon's Library. Another photo will be that of Dr. Amy Currin who lived and practiced at Hot Lake at least on two different occasions between 1910 and 1914. Her medical school graduation photo is included in the 2nd edition and will be shown in the DVD display as well.

The new edition has been expanded to 474 pages with additional photos, updated information, etc. There are 380 illustrations and photos and over 360 footnoted references. Some additional color pages have also been added. However, the original story line has not been changed to any great extent.

Hope to see some of you there!
Dick Roth

The first edition of Roth's book was recently featured by the La Grande Observer.

Thursday, November 13, 2008

Straightening out Freud on God and childbirth, or, This week's new books in history of medicine

This week is an unusually fertile one for new books in the history of medicine just added to the OHSU collections. We have four titles of interest, all currently shelved on the new books shelf (through Tuesday next, then they'll be in the stacks).

Furst, Lilian R.
Before Freud : hysteria and hypnosis in later nineteenth-century psychiatric cases.
Lewisburg : Bucknell University Press, c2008.
From the blurb: Before Freud is an anthology of psychiatric case histories published between 1869 and 1894 by five leading medical practitioners: George Beard, Richard Krafft-Ebing, Arthur Schnitzler, Jean-Martin Charcot, and Pierre Janet. Most of the cases here are translated from German or French for the first time. The purpose of this collection is to make accessible to English speakers important primary documents crucial not only for the history of psychology but also for an understanding of the literature of the period.

Sherk, Henry H., 1930-
Getting it straight : a history of American orthopaedics.
Rosemont, IL : American Academy of Orthopaedic Surgeons, 2008.
From the blurb: The 75th Anniversary of the AAOS offers an auspicious occasion to document the remarkable growth of our specialty over the last century. Getting it Straight: A History of American Orthopaedics provides a wonderful perspective on where we have been and even perhaps, where we are headed. Young orthopaedists, in particular, will benefit from new understanding of the changing burdens of different musculoskeletal diseases, the innovations, the occasional technological dead ends, the recurrent socioeconomic challenges, and the creative historical figures of our surgical specialty.The chapters are devoted to: The Origins of American Orthopaedics; Musculoskeletal Surgery in Children: The Soul of Orthopaedics; Fractures and Dislocations; The Total Joint Revolution and the New Science of Biomaterials; Orthopaedic Surgeons and the Spine; Arthroscopic Surgery and Sports Medicine; Specialization in Orthopaedics and the Development of Specialty Societies; Orthopaedic Device Manufacturers; Education and Research in Orthopaedics; and, The American Academy of Orthopaedic Surgeons.

Brodsky, Phyllis L., 1936-
The control of childbirth : women versus medicine through the ages.
Jefferson, N.C. : McFarland & Co., c2008.
Contents: Childbirth in primitive and ancient times -- The Middle Ages: an era of despair and persecution -- The sixteenth century: a Renaissance -- The seventeenth century: men and their instruments -- The eighteenth century: men and science -- The nineteenth century: men and disease -- Childbirth in early America -- Nineteenth-century America: the birth of obstetrics and gynecology -- Early twentieth-century America: the "midwife problem" and medicalized childbirth -- The second half of the twentieth century: technology-managed childbirth, by Edna Quinn -- The twenty-first century: technological childbirth challenged -- Conclusion: women in power.

Return to The house of God : medical resident education, 1978-2008 / edited by Martin Kohn & Carol Donley.
Kent, Ohio : Kent State University Press, 2008.
From the blurb: This book reflects on Samuel Shem's The House of God and its impact on medical resident education. [Shem's book] is widely regarded as one of the most influential novels about medical education in the twentieth century. Decades after being published, this satire still raises issues of how interns and residents are trained and how patients experience their treatment. Return to The House of God is a scholarly and creative response to the best-selling novel, exploring its impact on medical education, residency training, and the field of literature and medicine. Among the contributors are some of the foremost scholars in medical humanities and the most highly respected physician- and nurse-writers. This collection responds to the surprises, challenges, and wit of [the novel]. Some contributors point out constructive changes that the novel stimulated, while others see today's medical residency experiences as still in need of a cure. Some contributors appreciate the novel's black humor regarding overworked residents in hospitals, while others wince and deplore it. A few even take their cue from Shem and transform their experiences into literature. Final words of the volume come from Janet Surrey, Shem's wife, and Stephen Bergman himself, aka Sam Shem, reflecting on thirty years of doctoring and writing.Teaching faculty in medical schools, residency programs, bioethics, and medical humanities, as well as Shem fans worldwide, will enjoy this important contribution to the study of literature and medicine.

As a reminder, monthly lists of new titles available at the library can be perused online, with sections for the libraries at Primate and SEL as well as our neighbor institutions, the National College of Natural Medicine and Western States Chiropractic College.

Wednesday, November 12, 2008

Racy Raines Received

Yesterday afternoon, we received another two boxes of materials for the J. Richard Raines Papers (Accession No. 2008-008), including an entire box of photographs, both print and negative, and a box of miscellaneous publications, correspondence, and ephemera. My first favorite among the latter? --

Tuesday, November 11, 2008

Oregon Woman Suffrage Centennial, 2012

The Oregon Woman Suffrage Centennial Exploratory Committee is now seeking comment and collaboration on a proposal to mark the 100th anniversary of the successful 1912 state campaign with events and activities celebrating women's engagement in politics and civic life.

From the web site:
The upcoming centennial is an opportunity for all Oregonians to reflect on important topics: the ongoing role women have played in our state's history, the lessons of the suffrage movement, the achievements of citizen-based political movements, and the importance of civic engagement -- among many other important historic and contemporary issues.
From the print announcement:
This presidential election has brought unprecedented attention to women's involvement in politics, offering the opportunity to build deeper, more meaningful understandings of how women have used the political system to express their ideas and to effect change in the world around them. Now is the time to begin planning this work and to begin sharing our plans with each other.
Amen sister! For us, it will be another exciting opportunity to showcase the Esther Pohl Lovejoy Collections here in the archives, as well as to explore the role of physicians in the community, medical aspects of gender discrimination, the acceptance (or not) of women into the medical profession subsequent to obtaining the vote--and who knows what other topics we'll think of before 2012.

If you'd like to participate, or know of an individual or organization who may have great resources related to this theme, we encourage you to fill out the survey online or call Janice Dilg at 503-735-5911.

[Image: Esther Pohl Lovejoy canvassing for suffrage, with Mrs. Matthews, Elizabeth Eggert, and Francis Xavier Matthieu]

Monday, November 10, 2008

Gimme Shelter: round two

Round two of cherry picking notable titles from the circulating collections for transfer into the historical book collections was simultaneously more and less successful than the first trip undertaken last week (thumbs-down: walk, tram, walk, only to discover I had forgotten the key; thumbs-up: brought a big box and arranged a ride back up the hill).

On this week's Most Wanted list:

Campbell, Alfred Walter.
Histological studies on the localisation of cerebral function.
Cambridge, University Press, 1905.
First Edition of Campbell’s magnum opus. His map of the human brain was reproduced in many subsequent textbooks on neuroanatomy. The precentral area of the cerebral cortex is known as "Campbell's area." G-M 1430. Garrison, History of Neurology, p.178.

Cullen, Thomas Stephen, 1868-1953.
Embryology, anatomy, and diseases of the umbilicus together with diseases of the urachus / Illustrated by Max Brodel.
Philadelphia : London : Saunders, 1916.
In which is first described "Cullen's sign," a bluish discoloration of the periumbilical skin (periumbilical cyanosis and grid cyanosis) due to subcutaneous intraperitoneal haemorrhage.

Cushing, Harvey, 1869-1939.
Intracranial tumours; notes upon a series of two thousand verified cases with surgical-mortality percentges pertaining thereto.
Springfield, Ill., Baltimore, Md., C.C. Thomas, 1932.
OHSU copy: Presented by A.J. McLean, M.D., with his signature. Printed slip tipped in: With Dr. Cushing's compliments, dated 3-15-32. Typescript tipped in to rear endpaper, McLean's review of the book.
Cushing (1869-1939) was the principal pioneer in neurologic surgery in the United States, particularly in the broad field of intracranial tumors. He took full responsibility for diagnosis, localization, treatment, verification of pathology, and follow-up of his patients. In this book he documents his extraordinary achievement of reducing surgical mortality from almost 100 percent to less than 10 percent. (DSB, Cushing Soc. Bibliography 16, GM 4900). As a side note, McLean boasted of similar results.

Meningiomas, their classification, regional behavior, life history and surgical end results / by Harvey Cushing...with the collaboration of Louise Eisenhardt...
Springfield, Ill. ; Baltimore : Thomas, 1938.
“The present treatise was commenced in 1915 soon after the completion of his volume on the pituitary disorders, and it therefore represents nearly twenty-five years of work; by common consent it is regarded as Dr. Cushing’s greatest clinical monograph. It is the embodiment of all the things he has stood for during his career as a clinician; his painstaking case records and photographs, his unusual artistic ability evident in his own numerous operative sketches, and his extraordinary knowledge of the day to day life of his patients.” [Harvey Cushing Society].

Tumors of the nervus acusticus and the syndrome of the cerebellopontile angle, by Harvey Cushing.
Philadelphia, London, W. B. Saunders company, 1917.
OHSU copy presented by the children of Dr. Kenneth A.J. Mackenzie.
"This treatise was an outgrowth of a chapter on 'endothelioms' of the cerebellopontile angle which had been intended for the monograph on meningiomas (not completed until 1938)." "The monograph was important for several reasons. It was the first detailed account that he had given of a special group of intracranial tumours other than the pituitary, and it also recorded the progress that had occurred in neurosurgical technique since 1908." "This book consists primarily of detailed and well-illustrated case histories of patients with surgically challenging lesions of the brain stem. It reveals the carefully documented case histories Cushing kept and the self-discipline with which he worked." "The book was received almost as enthusiastically as had been the pituitary monograph. One British review may be cited: " ..... It is not only the practical achievement of the reduction of an operative mortality from an average elsewhere and everywhere of 70 per cent under 14 per cent in his own clinic that compels admiration; but further, it is the picture presented of vision and courage in the face of overwhelming difficulties and disappointments, recognizing failures with fearless honesty, rectifying them with consummate judgement and skill, and finally achieving the triumph so modestly set forth in these pages". Garrison & Morton No.4601; Courville No.528; Heirs of Hippocrates, 1161; Fulton, pp.410-411; Walker No.498; HC 3

Ehrlich, Paul, 1854-1915.
Die experimentelle Chemotherapie der Spirillosen (Syphilis, R ückfallfieber, Hühnerspirillose, Frambösie) von Paul Ehrlich und S. Hata
Berlin, J. Springer, 1910.
Ehrlich's crowning achievement was his discovery of Salvarsan, the "magic bullet" that marks the beginning of chemotherapy. Early in his career, Ehrlich had performed an intensive series of experiments on the differential staining of bacteria, which would take up aniline dyes while surrounding tissues remained unaffected. It was from the results of these experiments that Ehrlich conceived his idea of a magic bullet; i.e., a drug that could seek out and destroy invading micro-organisms without harming healthy tissue. Ehrlich's subsequent discovery of the syphilis-specific Salvarsan was rooted in two important events: In 1905 Schaudinn and Hoffmann discovered the spirochete of syphilis, and Thomas and Breinl discovered that atoxyl, an arsenic derivative, was capable of curing rodents infected with Trypanosoma equinum, a micro-organism that caused diseases similar to spirochetal infections in humans. Acting upon these discoveries, Ehrlich and his assistant Hata began synthesizing and testing hundreds of derivative compounds in the search for one that would kill the maximum number of spirochetes without damaging the organism. In 1909 Ehrlich and Hata finally achieved success with the 606th experimental compound, patented under the name "Salvarsan" and later known as arsphenamine; in modified form, the drug remained the mainstay of syphilis treatment until the discovery of penicillin. During the time Ehrlich was working on his magic bullet, he and Metchnikoff received the Nobel Prize for physiology or medicine for their fundamental contributions to immunology; after Ehrlich's discovery of Salvarsan, he was nominated for both the 1912 and 1913 Nobel Prizes for his chemotherapy work. Dictionary of Scientific Biography. Magill, The Nobel Prize Winners: Physiology or Medicine, pp. 118-26. Norman 686. Norman /Grolier Medical Hundred 92.

Garrod, Archibald E. (Archibald Edward), Sir, 1857-1936.
Inborn errors of metabolism.
London : Henry Frowde and Hodder & Stoughton, 1923.
2nd ed.
The second, expanded edition of Garrod's classic work, in which he demonstrated that "constitutional variation in function, as well as in structure, can give rise to what he termed 'chemical malformations'--alcaptonuria, cystinuria, pentosuria, etc."--GM 3415.

Mackenzie, James, Sir, 1853-1925.
The study of the pulse, arterial, venous, and hepatic, and of the movements of the heart.
Edinburgh, London, Y.J. Pentland, 1902.
OHSU copy with signature of A.D. MacKenzie, 1903.
"In his classical monograph Mackenzie included a description and illustration of his polygraph, with which he made simultaneous tracings of the pulse, apex beat, etc." "Mackenzie's classic work on the pulse marked the end of the 'Ars Sphygmica' of ancient Sphygmology." Bedford 67.

Monakow, Constantin von, 1853-1930.
Die Lokalisation im Grosshirn : und der Funktion durch kortikale Herde.
Wiesbaden : Verlag von J.F. Bergmann, 1914.
Monakow (1853–1930), director of the Brain Anatomy Institute in Zurich, was a pioneer in the early history of interdisciplinary brain sciences. The elucidation of connectivity in sensory and motor pathways was richly illustrated in two landmark monographs: Gehirnpathologie (1897) and Die Lokalisation im Grosshirn (1914).

Mondino dei Luzzi, d. 1326.
Anatomies de Mondino dei Luzzi et de Guido de Vigevano.
Paris : E. Droz, c1926.
Mondino systemized dissection and in 1315 published a manual called Anathomia (also known as De Anatome) which, due to the clarity of its text, became the literature of choice in nearly all European medical schools for three centuries after his time, running to a dozen or so editions, with successive commentaries by Achillini, Berengario and Johann Dryander. It became such an authority that anything not represented was declared anomalous. Guido was one of the first to add drawings of organs to his anatomical descriptions.

Penfield, Wilder, 1891-
Epilepsy and cerebral localization; a study of the mechanism, treatment and prevention of epileptic seizures.
Springfield, Ill., Baltimore, Md., C. C. Thomas, 1941.
1st ed.
OHSU copy extra-illustrated with diagram from Montreal Neurological Institute. Signature of Berk B. Strowger, Montreal, 1942.
In the 1940s and 1950s, Penfield and his associates defined the anatomical and pathological features of temporal lobe seizures originating in mesial temporal structures, pioneering the technique of systematic electrical stimulation at various points of the cerebral cortex in the surgical treatment of focal epilepsy. The procedure required that the patients remain conscious, receiving only local anaesthesia. The patient's so responses to Penfield's gentle applications of current enabled Penfield to identify, in many cases, the precise location of the damaged brain tissues that were causing epileptic seizures. As he did this he was able to map areas of the brain in terms of their respective functions. This new surgical approach, with anterior temporal lobectomy including removal of the amygdala and hippocampus, became known as the "Montreal Procedure."

Ramón y Cajal, Santiago, 1852-1934.
Degeneration & regeneration of the nervous system.
London : Oxford University Press., 1928.
"The most complete work on the subject so far written"--GM 666. Ramón y Cajal was awarded the Nobel in 1906.

Histologie du systeme nerveux de l'homme & des vertebres / par S. Ramon Cajal. Ed. francaise rev. & mise a jour par l'auteur ; Traduite de l'espagnol par L. Azoulay.
Paris : A. Maloine, 1909-1911.
OHSU copy donated by W.F. Allen.
"One of the greatest histologists of all time. He devised many staining methods for nervous tissue and did work of fundamental importance to neuro-anatomy."--GM 1304

Sherrington, Charles Scott, Sir, 1857-1952.
The integrative action of the nervous system.
New York, C Scribner's sons, 1906.
“This work stands as the true foundation of modern neurophysiology; it is considered by Fulton to rank in importance with Harvey’s De motu cordis, while Walshe asserts that it holds a postion in physiology similar to Newton’s Principia in physics” (Garrison-McHenry p.228). Sherrington proposes that the duty of the nervous system is to coordinate the functions of the various parts of the organism and that reflexes are simple expressions of the integrative action of the nervous system, allowing the whole body to function toward one definite end. Cf: Garrison-Morton 1432; Heirs of Hippocrates 2198; PMM 397.

Testut, Léo, 1849-1925.
Anatomia umana (anatomia descrittiva - istologia - sviluppo).
Torino : Unione Tipografico-Editrice Torinese, 1943-1945.
Ristampa stereotipa della 3. ed. italiana del 1921, riv. e corr. da aggiunte originali, dal Prof. Giuseppe Sperino.
A personal favorite. Can you imagine the cultural factors that came in to play in the production and sales of this 11 volume work in wartime Italy? "He contributed with over 90 publications on anatomy, anthropology, prehistory and history, but his most noteworthy achievement has been as author of Traité d'anatomie humaine a complete well written and illustrated work of anatomy composed of 4 volumes that continues to be used in many countries to the present day. The illustrations present in this book continues to be a major source of reference to other anatomy books. It is popularly known in medical schools where it is considered the standard anatomy textbook, that he recollected the material published from personal notes and drawings after having failed anatomy exams several times during medical school until he finally passed."--Wikipedia

Wenckebach, Karl Friedrich, 1864-1940.
Die unregelmässige herztätigkeit.
Leipzig, W. Engelmann, 1927.
Wenckebach was the first to demonstrate in this book the value of quinine (“Wenckebach’s pills”) in the treatment of paroxysmal fibrillation, and he established the clinical basis for its use in cardiac therapeutics. The same work contains a number of excellent descriptions of various forms of cardiac arrhythmia. GM 2844. See also Willius & Dry p. 343.

Williams, J. Whitridge (John Whitridge), 1866-1931.
Obstetrics : a textbook for the use of students and practitioners.
New York and London : Appleton, c1903.
1st ed.
The first of a long line of editions, now simply referred to as Williams' Obstetrics. A landmark in the development of scientific obstetrics in America, this volume includes 8 colored plates and 630 text illustrations. "The first American textbook to present the subject as an academic discipline and to emphasize its vast potential for research. Williams' book aroused great interest in research in reproductive biology and did much to establish the specialty as a medical science." Lawrence Longo, TSCPP (1981).

(And, a quick thanks to John Doe, who pointed out that I did, in fact, mean June 2009 when mentioning the date of the storage move from its current location to a site yet TBD.)