Monday, May 14, 2018

New Collection: Nurse Midwifery Program records

Historical Collections & Archives is now posting on Library Notes! Check out this post, and others. there.

This post is by Archives Assistant John Esh.
Image of the Rural Health Conference program of 2006
Rural Health Conference program, 2006

While I’m currently making my way through OHSU’s massive medical artifact collection (more to come on that soon!), my previous project was processing the Nurse Midwifery Program records, collection number 2015-017. This one came to us courtesy of Dr. Carol Howe, the “Godmother of Midwifery,” here at OHSU after her retirement. While various Nurse-Midwifery collections have been posted about before (be sure to check out Meg and Max’s posts), this particular one contains a few new items of interest.

The majority of this collection consists of minutes, grant proposals, certifications, and other documents pertaining to the inner workings of the program, but within can also be found more objects directly pertaining to Dr. Howe and her tenure. Several folders contain articles written about Dr. Howe and her accomplishments, as well as a multitude of articles pertaining to midwifery and the OHSU School of Nursing. This collection also contains many photographs documenting over 30 years of Carol Howe and her staff both at work in the hospital and spending family time with each other.

Annotated speech on “Who is a Midwife,” by Carol Howe, date known
Annotated speech, “Who is a Midwife,” Carol Howe, undated
Most noteworthy though are the presence of several of Dr. Howe’s speeches and presentations at conferences across the country. A prolific speaker and born educator, these speeches give great insight into the evolution of the practice over the years. Along with her hand annotated copies of the speeches, the folders contain everything from ephemera surrounding the various speaking engagements, to thank you notes from effused coordinators and peers.

Anyone with an interest in nurse-midwifery would be remiss to not check out this collection and take to heart the words of Dr. Carol Howe, one of our greatest midwives and contributors to the field.

Friday, May 04, 2018

New Oral History: Virginia Tilden

Historical Collections & Archives is now posting on Library Notes! Check out this post, and others. there.

This post is by Archives Assistant Rosie Yanosko.

Image of Doctor Virginia Tilden
Virginia Tilden, Ph.D., R.N., F.A.A.N.
We recently added an interview with Virginia Tilden, Senior Associate for Research at the School of Nursing, to our Oral History Collection. I highly recommend reading this interview, but in case you're short on time, I'd like to share some of Tilden's fascinating story. Her father was a Foreign Service Officer, so her formative years were spent in the Commonwealth of Nations and the Far East. Her upbringing instilled her with a "sense of a pretty large world, and the suffering of many people." While Tilden was in high school, her family moved back to the States, and she decided to study Nursing at Georgetown University. She described her time at Georgetown as follows:
They were the early years ... nursing was very traditional. It was very much subservient to physicians. It was very much follow orders. You know, that would make me bristle. Follow orders? Wait a minute. I mean, so that was a challenge for me. Why I stayed was I loved psychiatric nursing because it was where I could connect with people, with their suffering, with their limitations.
Tilden's empathy for the suffering of others and dedication to challenging the status quo are evident throughout her career.

After graduating from Georgetown in 1967, Tilden needed a change of pace, and she decided to pursue her Master's in Psychiatric Nursing at the University of California, San Francisco (UCSF). Describing herself as "a little bit of a rebel," Tilden lived in the storied Haight-Ashbury district. At that time, few schools had Ph.D. programs in Nursing, so she studied under a group of nursing faculty with doctorates in psychology, anthropology, sociology, and other fields. This interdisciplinary approach had a marked influence on Tilden, who incorporated these divergent viewpoints into her own work. After completing her Master's degree, Tilden served as a clinical instructor before going on to pursue her Ph.D. in Nursing from UCSF. Her groundbreaking doctoral dissertation studied the psychology of women during pregnancy and childbirth, including a sub-study of women who were single by choice.

She completed her Ph.D. in 1981 and accepted a faculty position at OHSU's School of Nursing the following year. Along with Barb Limandri and others, Tilden studied domestic violence and abuse. In 1989, she became the Associate Dean for Research and earned a postdoctoral certificate in Clinical Bioethics from the School of Medicine at the University of Washington (UW). Tilden remembers a lecture at UW that focused on the case of Nancy Cruzan, a young woman in a vegetative state whose family sought to withdraw life support. The nursing home caring for Cruzan refused to comply with her family's wishes, and the case made its way to the U.S. Supreme Court. This case had a profound impact on Tilden:
I had this interest in families during gestation and childbearing. And then family violence ... I was very interested in what [her] family went through. And as a result of that, I kind of moved my research program to trying to understand what families experienced when they went through ethical dilemmas.
Shortly thereafter, Tilden partnered with other OHSU faculty to create an Ethics Center, where her research supported the creation and development of Physician Orders for Life-Saving Treatment (POLST).

To learn more about Tilden's work and her remarkable contributions to the field of Nursing, consider reading her oral history.

Thursday, May 03, 2018

An Intimidating Prospect: The Records of Peter Kohler

Historical Collections & Archives is now posting on Library Notes! Check out this post, and others. there.

This post is by Archives Assistant Jeff Colby.

This past year saw the Historical Collections & Archives crew involved in a massive, all-hands-on-deck project to conclusively finish organizing the massive amount of records (of all types) gathered primarily through the period of administration of OHSU President Peter O. Kohler, which spanned from 1988 to 2006. They include not only Dr. Kohler’s own papers but those of his Vice-Presidents as well. As is to be expected, reams of bureaucratic paperwork are pretty charmless in and of themselves. However, at the end of it all, it gives one a greater appreciation of the sheer breadth and depth of the concerns of a major modern academic medical center.

early plan for South Waterfront development, circa 2000
 An old saying is that money runs the world, and in this case finances were an integral part of the collection. And an especially alarming part, as a series of politically motivated tax laws and continuing budget cuts led to the drastic decision of OHSU to cut loose from the State and re-invent itself as a Public Corporation. While this did not totally stop OHSU from trying to massage funding from State and Federal Legislatures, it did lead to a much wider net being thrown to haul in more private investors. This would lead to the “Oregon Opportunity” campaign, which endeavored to bring more biomedical research into Oregon.

Partnerships with other local entities, like the City of Portland and Portland State University, were another major component of the collection. Like the Public Corporation and Oregon Opportunity, these efforts were part of an overall process of strategic planning in which it was felt essential for OHSU to give up its “Shining City on the Hill” aloofness and come downtown. We joined with PSU in the new South Waterfront campus, now up running and still expanding, with the OHSU Dental School, OHSU/PSU School of Public Health, and the Center for Women’s Health.

early tram inspiration, from a 2005 PowerPoint presentation
Other important issues are likewise dealt with, such as Medicare/Medicaid and the medically under-served populations of rural Oregon. The first is a perpetual headache that must be survived. The second had a happier outcome with the extension of rural clinics and Area Health Education Centers (the AHEC program) to help create a new generation of healthcare workers themselves living in these rural areas.

This in turn led to attention to curriculum changes to take advantage of all these new efforts and incorporate the lessons of this new research into our own student lessons. Add to all this the miles and miles of budget files and the personnel files with their many (restricted) grievances, one gets a mind-boggling idea of the scale of things heaped up on our Administrations’ plates … ‘tis not for the weak of heart.

For more information, review the finding aid for the Office of President Peter Kohler records.

Wednesday, May 02, 2018

Goodbye "Historical Notes"

For many years, OHSU's Historical Collections & Archives has maintained this blog, Historical Notes, separately from the other OHSU Library pages. However, we've recently decided that it will be better for everyone if we bring together the HC&A blog and the official OHSU Library Notes blog - one place for all your favorite library posts.

For the next few weeks, we'll be cross-posting on both blogs to allow everyone a bit of time to make the transition. But, by the start of June, we plan to only be posting on the OHSU Library Notes blog. But don't worry, our posts will be tagged in the Historical Collections & Archives category and you can still subscribe to email updates or the RSS feed to fulfill all of your notification needs.

And don't worry, this blog site isn't going anywhere. We'll keep it going to retain access to old posts (we are archivists, after all), but you can also visit our Web Archive to find them there (just in case). So check out the new space, update those bookmarks, and sign up to get notifications of new posts. We hope you'll keep following us for years to come.

Wednesday, April 25, 2018

New Collection: Casey Bush collection on Robert S. Dow

by John Esh

Dow in New Guinea
New Guinea, undated
I’m proud to say that I recently processed my first official collection and it was put up for the whole world to see on Archives West. In collaboration with my coworker Rosie Yanosko, we pored through the life of Robert Stone Dow, a world renowned neuroscientist and longtime Portland resident. We organized, and then processed the records for the OHSU Historical Collections & Archives. Dr. Dow has been posted about before on this blog; I’ll give you a quick recap of his life as the eminent neuroscientist in Oregon.

While born in Wray, Colorado, Dr. Dow was raised in Newberg and McMinnville, Oregon before attending Linfield College where he worked under Dr. James MacNab as a lab assistant. It was here he gained the attention of Dr. Olof Larsell, and it was under Larsell’s tutelage that Dr. Dow gained a passion for the inner workings of the cerebellum and both his Ph.D. and M.D. from Oregon State University. After marrying and travelling while pursuing a post-graduate education across two continents, Dr. Dow returned to his home state where he built the first electroencephalogram (EEG) in Oregon, as well as the first neurology practice in the state. Furthermore, having established the Neurological Sciences Institute at Good Samaritan Hospital, Dow continued his research into epilepsy, Alzheimer’s, strokes, and Parkinson’s, among other brain related maladies, before dying at the age of 87 in 1995.
There are other collections about Dr. Dow in the OHSU Archives, but this particular one was donated by Casey Bush, a poet, writer, and the biographer of Dr. Dow with his book entitled Inside the Black Box: A Biography of Oregon Neuroscientist Robert Stone Dow. While this biography has never been published (evidenced by a handful of rejection letters from various publishers), a copy is available in this very collection for anyone to read.

Dow in New Guinea
New Guinea, undated
Along with his biography, the collection consists of correspondence, presentations, photographs, and publications of the famous neuroscientist. Some of the content that I found most interesting to my previous anthropological schooling was Dr. Dow’s presentation, Kuru: The Mysterious Disease of New Guinea, which he made in 1965 after spending time there with the Fore people attempting to deduce the cause of the disease. Kuru is an affliction most common among said tribes and directly translates as “trembling” and is also known as the “laughing sickness,” which we now believe to have been transferred during cannibalistic funerary rites when the brain was ingested. As well, the people of the Fore would often enlist sorcerers to craft talismans for them with the intent of inflicting kuru upon those they hated. Thankfully the practice ended in 1960, but the long incubation time of the disease (10-50 years) meant that only recently has the disease completely died out.

The Casey Bush collection on Robert S. Dow provides a fascinating look into Robert Dow’s busy life and work and is definitely worth the time to look through, or perhaps even request a copy of his biography from, to learn a little more about the history of the medical profession in Oregon.

Friday, April 13, 2018

New Collection: Oregon League for Nursing

Nurses of the Pacific Northwest lapel pin
lapel pin
The Oregon State League of Nursing Education (OSLNE or OLNE) began organizing in 1922 and then applied for membership with the National League of Nursing Education in April 1923. The mission of both organizations centered around consideration of all aspects of nursing education, defining and maintaining minimum standards for education, promoting professional relationships and collaboration, and developing and maintaining the "highest ideals in the nursing profession."

The Oregon League focused on nursing education and continuing education, public health nursing, training of Native American nurses (albeit, a seemingly minor program), and advocacy work (such as for greater nurse employment and better funding for education and employment opportunities). And they were pivotal in moving Portland's nurse training school from the County Hospital to the University of Oregon (which became OHSU).

Newsletter entry regarding changes from Citizens' League back to League for Nursing
OCLN returns to OLN name, 1982
From 1947 to 1950, the League operated as the Educational Section of the Oregon State Nurses Association (later the Oregon Nurses Association). They changed again, along with the National organization, in 1952, to become the Oregon League for Nursing, expanding the mission to include fostering the improvement of nursing services and education through more coordinated actions of nurses and associated professions, agencies, and schools. For a time, from around 1972 until 1981, the name was changed yet again, to Oregon Citizens' League for Nursing (OCLN). However, the name was returned to its earlier form after a number of concerns and complaints were raised in regards to the word "Citizens'" being added.

The Oregon League for Nursing records (Collection Number 2017-019) cover many of these topics, including becoming a member of the National League; advocating for nursing education and greater nurse employment; raising funds and advocating for better funding for both education and employment of nurses; producing educational programs, such as films, radio dramas, and public speaking engagements; and day-to-day governance of the organization.

Of particular interest is a significant run (1953-1985) of the organization's newsletter, "The Oregon Reporter." The newsletter charts much of the history of the organization, serves annually as a bulletin for the annual convention, and also documents related happenings in the region. View the finding aid for the Oregon League for Nursing records for more information.

"Oregon Reporter" annual convention issue, volume 10, October 1962

Wednesday, April 11, 2018

New Collection: Dorothy A. Robinson Mann papers

by Rosie Yanosko

I recently finished processing my first collection at OHSU - the Dorothy A. Robinson Mann papers (collection 2010-008). Mann graduated from the University of Oregon Medical School Nursing Department in 1942 and began serving in the U.S. Army Nurse Corps shortly thereafter. The collection contains a selection of her Army records, including a detailed inventory of the clothing and equipment she received while in the service (only one fork, knife, and spoon were issued – I hope she never misplaced them!). An avid photographer, Dorothy took many photographs to document her experiences in the U.S. and Europe. This collection includes a large scrapbook in which Dorothy arranged her photos and wrote copious descriptions alongside them. We had to dismantle the scrapbook for preservation purposes, and while doing so we came across quite a few gems. Below are just a few of them:

Field hospital maneuvers at Fort Riley, Kansas

Gas mask training at Fort Riley. The back of the photo reads: "Out of the gas chamber - oh what a drippy nose!"

While in Europe, Dorothy served in the 46th General Hospital and didn't forget to take photos of their temporary tent hospital. Nor did she forget handsome Major Joe, a dog who "belonged to a GI that was headed for the front so a couple of our nurses adopted him - he had a fit whenever any of the men needed to work in our compound. He was left with another kind soul. The powers that be would not allow him to ship out with us".

46th General (tent) Hospital

Major Joe


While traveling with the 46th to Besançon, France in August-September of 1944, Dorothy found time to capture the beauty of her surroundings.





In December of 1944, a routine chest x-ray revealed that Dorothy had pulmonary tuberculosis, and she retired from the Army in late 1945. After recovering from her illness, Dorothy went on to earn her Bachelor's Degree in Biology at Lewis & Clark College. Included in this collection are copies of her paper "Cambarincola Gracilis Sp. Nov., A Branchiobellid Oligochaete Commensal on Western Crayfishes," which was published in the Journal of Parasitology in 1954.

Tuesday, April 10, 2018

Introduction: John Esh, Student Assistant

by John Esh

Hi everyone. My name is John and I’ve just started as a student assistant here in the OHSU Historical Collections & Archives. After spending several years living across the United States, I finally settled down in Portland to begin my academic endeavors. I graduated from Portland State University in 2016 with a BA in Anthropology and a minor in French (the latter completed while studying abroad at l'Université de Poitiers), with the intent to work as an archaeologist on the Pacific Northwest coast.

After graduation, I came to the conclusion that I would rather spend my time curating cultural artifacts after they’d been brought back from various sites, rather than be the one who spent hours in the field. So I decided to pursue an MLIS with an archival focus at Emporia State University (much like several of the other past and present student workers here). As well as working here, I volunteer at Lewis & Clark’s archives (taking over a project that Rosie started there) and also barista and bartend.

When I graduate, I’m hoping to find work in a museum, anthropological department, or historical society working with artifact collections. While here at OHSU, as well as processing more document focused collections, it looks like I’ll be helping to organize and process some of the fascinating medical tools and objects in the artifact collection, putting my archaeological skills to good use. I’m more than looking forward to sharing some of my favorite finds with you here on this blog.

Monday, April 09, 2018

Introduction: Rosie Yanosko, Student Assistant

by Rosie Yanosko

Photograph of Rosie Yanosko
Hello! My name is Rosie Yanosko and I'm delighted to be working as a student assistant in the OHSU Historical Collections & Archives. Before starting here, I worked upstairs in the library's Access Services department. I'm a month or so away from graduating with my Master's in Library and Information Science from the University of Maryland's online program. I'm very much looking forward to completing my studies and having time to read for pleasure.

Though I'm new to the world of archives, I'm eager to delve into the collections and to learn more about archival processing and preservation. Prior to starting here, I interned at the Lewis & Clark Special Collections & Archives and volunteered at the Oregon Historical Society Research Library. These experiences cemented my desire to work in archives - I love exploring record keeping idiosyncrasies and long forgotten stories hidden in collections. I look forward to sharing noteworthy finds with you here on the blog!

Thursday, March 29, 2018

History of Medicine lecture: Dr. Daniel M. Albert

Happy Spring! Please join us on Friday, April 20th, for our next History of Medicine lecture:



Chevalier John Taylor: The Man Who Blinded Bach and Handel
Daniel M. Albert, M.D., M.S.
Casey Eye Institute
Friday, April 20, 2018, 12:00pm

The 18th century itinerant oculist Chevalier John Taylor treated the eyes of royalty and some of the greatest composers and writers of all time with both disaster and success. He is best remembered as the man who purportedly blinded both Johann Sebastian Bach and George Frideric Handel. He was also the first to successfully operate on crossed eyes and appeared to have success with other eye operations. While he often exhibited knowledge and skill as an oculist, Taylor has been reviled as a quack by both his contemporaries and those who study him today. His character could be described as a unique combination of intelligence, talent and fraud. This talk attempts to illuminate these two sides of John Taylor, a real-life Dr. Jekyll and Mr. Hyde.

About the speaker: Dr. Albert received his B.S. degree from Franklin and Marshall College, and attended the University of Pennsylvania School of Medicine. Subsequently he trained in ophthalmology at Penn Med and in Pathology at the Armed Forces Institute of Pathology. He has served on the faculty at Yale Medical School, Harvard Medical School, the University of Wisconsin School of Medicine and Public Health, and served at the latter as Chair of the Ophthalmology Department and Founding Director of the McPherson Eye Research Institute. He joined faculty of the Casey Eye Institute in 2016. He has published numerous articles and books.

Light refreshments will be served

Wednesday, February 28, 2018

Film Screening: At Home and Over There: American Women Physicians in WWI

We are so excited to host this great Women’s History Month event! The film was produced and written by one of our own OHSU students, who spent hours conducting research in HC&A collections in the process of making this film. See below for details.


At Home and Over There tells the incredible story of American women physicians who served during the First World War despite widespread discrimination. Driven by patriotism and a desire to serve, these unsung heroines worked in hospitals, dispensaries, canteens, and ambulance units both during the war and in the years that followed. The film features the story of OHSU’s own Dr. Esther Pohl Lovejoy.

After the screening, stay for a Q & A with the film's producer/writer, OHSU M.D./Ph.D. student Mollie Marr, and then head to Old Library room 221 to explore archival materials used in research for the film. This film screening will not be recorded or streamed – we hope that you can join us in person for this Women’s History Month event!

Film Screening: At Home and Over There
Wednesday, March 14th, 6:00pm
Old Library Auditorium

Film presented by the American Medical Women’s Association and Raw Science Foundation

Light refreshments served

Tuesday, January 23, 2018

The end of a date range

by Rachel Fellman

I've always been shy about calling myself an archivist. At first, I wasn't sure this was what I wanted to do, and then I was still a student worker. A student worker is a funny thing, like the first evolution of a Pokemon. You can already be good at what you do; you can already be ambitious, well-informed, and curious. (After all, Pikachu is a first-level Pokemon, and there's no doubt that Pikachu knows what he's doing.) But you don't have all your flair yet, or your advanced attacks, where "flair" is a job title and "advanced attacks" are health care benefits.
A Charlie Brown Christmas: "Linus, I don't understand the
true meaning of respect des fonds."

But now, I have evolved from Rachel to Raichu: I'm moving to California to become Assistant Archivist at the Charles M. Schulz Museum. I am immensely proud and excited to be an archivist working with comics, a medium I've always loved (and closely associated with my love of libraries).

The archives there is unique. It's concerned with a single person, so the collections are deep and focused, but Schulz' work has permeated American culture for decades, so there's also a breadth to the project, an absence of claustrophobia. The museum is an active part of the local community, hosting comics events, movie nights, and themed free days. My favorite of the latter is the one for February: free admission for redheads, in honor of the Little Redheaded Girl. (She's based on a real person, if you were wondering -- the head Schulz archivist interviewed her for their oral history project.)

OHSU has been a perfect place to serve out my apprenticeship. I'll miss the staff, my mentors, the collections, and the anecdotes. For the rest of my life, whenever a conversation flags, I can just apply the story of the Medical Anti-Shock Trousers. If you'd like to keep track of me, you can check the SAA Students and New Archives Professionals Section blog, which I'm editing until the end of this year, and where you'll notice I've already mentioned the trousers.

As a final note, I'd just like to add that of the Peanuts cast, Linus is the most likely to become an archivist. He's thoughtful and philosophical, and he takes good care of his blanket. More to the point, though, he recognizes that collections are there to be used, even at the expense of some degree of preservation. As archivists, we can all look up to that.

Friday, December 01, 2017

Tuesday! Join us for a book talk by author Bill Graves


Interested in the story of how OHSU became the academic health center it is today? Please join OHSU Library for a discussion with William Graves, author of Transformed: How Oregon’s Public Health University Won Independence and Healed Itself (Pacific University Press, 2016). A Q&A will follow the author’s presentation. Light morning refreshments will be served.

Tuesday, Dec. 5, 2017
10 a.m. - 11 a.m.
BICC building, Room 429 (enter through the OHSU Main Library entrance on the 3rd floor)

About the book: Oregon Health & Science University seemed stuck in the backwaters of the nation’s academic health centers when Dr. Peter Kohler became its president in 1988. So Kohler and his young administrative team came up with a radical plan to help OHSU take control of its fate as a semi-independent public corporation. This remarkable story offers a case study and possible model for other public universities and academic health centers now facing the same social and economic forces that drove OHSU to transform. The book is based on countless interviews and hours of research using the unique collections in OHSU Historical Collections & Archives. 

About the author: William Graves has worked more than three decades as a daily newspaper journalist, including 23 years at The Oregonian in Portland. He is co-author of a book on education reform, Poisoned Apple, a graduate of the University of Puget Sound and Western Washington University, and a former Nieman Fellow at Harvard University.


Monday, October 23, 2017

Archival questions, archival answers?

by Rachel Fellman

There’s no single educational path into archives, though most of us do go to library school. If there were an archives degree, though, you’d really only need two classes: Exquisite Office Supplies and Making Tricky Calls. Archives is not a career to go into if you like your decisions clear and your guidance universal. A collection with 25 folders is a collection with 25 problems. Are this woman’s records likely to be covered by HIPAA? Who is the man in this photo? Do we respect the office’s original file order if it doesn’t make sense? No, hear me out: what if it sort of makes sense?

1.5% of the collection. Photo by author. Also shown:
sunlight, the archivist's enemy.
All this is leading up to the reason you haven’t heard from us in a while: we’re (re)processing files from the office of Peter Kohler, who was president of OHSU from 1988 until 2006. Dr. Kohler was a central figure in OHSU’s history – during his tenure, the university doubled in size and employee numbers. And his collection is huge. How huge? Somewhere around 200 linear feet. Is that big by archival standards? Maybe not, but OHSU’s collections tend to be small. The Kohler records are our second-largest one. (The largest is 400 feet long, involves human remains and 98 boxes of plaster casts, and has its own room which may or may not be haunted.)

Perhaps half of the Kohler collection was already processed. Our goal now is to process the entire collection into one coherent arrangement scheme. One of the many tricky calls in archives is how much time to spend on a collection in the first place. There's a whole school of thought, called "minimal processing," that argues that we should spend very little -- no refoldering, no relabeling, no removal of paperclips or staples, just a collection hurtling as fast as possible into researchers' hands. Most archivists acknowledge the wisdom of that without taking it as gospel. We try to process quickly, but also go back and reexamine things when we can. (And usually we can't resist taking the paperclips out. They can rust!)

In this case, many of the files we've been working with had been refoldered and relabeled by previous archivists. So for this iteration of the project, the three of us (student workers and Archives Assistant) are going back through these records and doing some polishing, including bringing some of the titles in line with current practices. We're also deaccessioning some records. Plainly put, we had to remove some of the stuff to improve access to the rest.

Some of the choices were easy. There were things that were obviously too private to show researchers, or too banal to be any use to them. Want to see Dr. Kohler’s 2005 tax returns, complete with his Social Security number? Well, you can’t, because I’ve shredded them. Want to see the receipts for his car phones, back when that was a thing? A hint: you will learn more if you just type "car phone" into Google Images, and you'll also see some pictures of people who are really living.

But there were also more ambiguous calls. Most prominently, Dr. Kohler’s office saved many years of letters from patients. Some are positive, others are critical, but all of them reveal ordinary people's experiences and feelings about the hospital. Per OHSU’s records retention policy, we should be throwing them all away, and for most of the length of this project, we have. But the questions creep up. How much does an institution’s records retention policy apply to its archives? How much do we owe to the patients – to make sure their stories are told – and how much do we owe to the institution – to tell its story in full? But also: don't we owe these patients their privacy? They never gave permission for their letters to be kept forever; permission is a privilege not everyone gets. So what's more important, what's the more vital right? Being remembered, or being forgotten?

I can’t provide an upside-down answer key at the end of this post, like on a magazine quiz. Archival questions are all unanswerable; that’s why they’re so tricky. But essentially, we've come down on the side of throwing them away. The record suffers from the absence of these stories, but people suffer when institutions do things without consent, and it's part of our professional ethics to value people over paper. We value the paper because we value the people. Still, there are always ambiguities when you try to be fair to everybody, and we need to keep these things in mind when we look at records that past archivists have processed. They may look neutral, but there are always decisions behind them.

Tuesday, October 10, 2017

Rosenbaum History of Neurology Lecture: Dr. Jock Murray on November 7th

Please join us for our first history of medicine lecture of the 2017-2018 season:

Tuesday, November 7th, 2017, 5:00pm
Doernbecher Children's Hospital -- Miller Auditorium (11th floor)


In every decade before and after MS was named and framed in 1868, there was always an array of therapies applied to patients. Dr. Murray will explain the theoretical basis behind the numerous treatments up to the present day.

Dr. Jock Murray is a neurologist, and founder and former director of the Dalhousie MS Research Unit.  He was Dean of Medicine, and Professor of Medical Humanities. He had leadership roles as Chairman of the American College of Physicians, VP of the American Academy of Neurology, President of the American Olser Society, and President of the Canadian Neurological Society.  He is an Officer of the Order of Canada, Order of Nova Scotia and a laureate of the Canadian Medical Hall of Fame. 

Friday, September 15, 2017

2017-2018 OHSU History of Medicine Society lectures

A new season of History of Medicine Society lecture season is upon us! Please see below for a preview of our 2017-2018 schedule.  We will be posting more event details and reminders as the lecture dates approach.

Tuesday, November 7, 2017, 5:00pm
Doernbecher Miller Auditorium
Herbert Rosenbaum History of Neurology Lecture
Dr. T. John “Jock” Murray, MD
Dalhousie University
Sponsored by the Department of Neurology

Tuesday, December 5, 2017, 10:00am
BICC 429 (OHSU Main Library)
Bill Graves
Author of Transformed: How Oregon's Public Health University Won Independence and Healed Itself

Friday, April 20, 2018, 12:00pm
OHSU Old Library Auditorium
Dr. Dan Albert, MD, MS
Casey Eye Institute

Spring 2018
History of Surgery lecture
Dr. Albert Starr
Sponsored by the Department of Surgery
Date TBD

Thursday, August 17, 2017

"The Marquam Hill Billy"

by Rachel Fellman

scan by the author
No plan survives the enemy, and no departmental in-joke survives eighty years in a file folder. I drew that second conclusion while reading through the three surviving issues of The Marquam Hill Billy, a University of Oregon Medical School employee newsletter from (most likely) 1937. (Volume and issue numbers are listed with almost sarcastic precision, but there are no dates on the issues).

The newsletter takes a mocking tone, and two of its opening editorials take the time to chide annoyed readers: "No fair getting your feelings hurt"; "our policy is not to hurt any feelings, so it's  'no fair gettin' mad.'" It's hard to imagine any of the readership actually gettin' mad, though. The jokes at staff expense are very mild, and composed mainly of self-deprecating anecdotes and things that friends might tell their friends. (One staffer mistakes shaving cream for toothpaste; another is briefly caught up in a riptide; a third is in love.) There are marriage and baby announcements, and a certain amount of medical wordplay ("the weather was a little diluted," and the Hill Billy itself is "issued P.R.N.").

It's in the patient anecdotes that the Hill Billy takes the gloves off. A young patient's mother pronounces "pneumonia" as "peanut ammonia"; another child gets a bee sting on his tongue while running down the hill to tell his mother their house was on fire. In general, the portrayal of patients is very negative: they're portrayed as ill-informed and uneducated, and generally don't know what's what. Some of them are black, which is held to be inherently funny, and racist remarks abound.

Most of the time, I find that old publications read a lot like new ones. The Crohn's newsletters are recognizable precursors of the modern Internet, with a mixture of information and friendly chatter. And an alumni magazine is an alumni magazine whether you meet it in 1957 or 2017. Gallows humor is universal to caring professions, as is private frustration with patients and co-workers. But it's hard to imagine anything like The Marquam Hill Billy existing today. The idea of how a professional speaks and acts has just changed too much, and there's a much stronger boundary between our personal and working lives. Archivists may be annoyed by HIPAA more or less all the time, but at least it stops medical discourse from devolving into "poor people say the darnedest things." (I'll own, though, that "don't get mad at the nasty remark I'm about to make" remains a universal constant.)

The Marquam Hill Billy can be found in the University News and Publications Print Collection, 2004-003.

Monday, August 14, 2017

Beyond the Pickering Debacle

by Rachel Fellman

Dr. Donald Pickering's lab notebooks are easy to date for two reasons. First, he served at the University of Oregon Medical School for only five years -- as a professor of pediatrics, and then as the first director of the Oregon Regional (now National) Primate Research Center. His speedy departure from the latter post was still referred to decades later as "the Pickering Debacle."

Photo by author
The second reason, though, is that he was a tidy man who obviously treasured his office supplies. The first page of each hardcover notebook is neatly labeled with the subject and year, with a first-day-of-school enthusiasm that's been preserved intact through the early years of the doctor's professional life. Their internal organization is similarly scholarly. Photographs are pasted in and neatly labeled, and introductory matter is written in full sentences without corrections. I like to think that Dr. Pickering, who died in 2006, would have appreciated knowing that we've removed the rusted paperclips from his work and fitted it precisely into a 2.5-inch acid-free box.

His tenure here was unhappy, as the word "debacle" tends to suggest. The reason why is less obvious. The relevant oral histories are a Rashomon-like collection of stories, often marked by anxiety about how much detail to discuss, even thirty years later. To Dr. Robert Campbell, the issue was a personality conflict -- a question of money and control -- between Dr. Pickering and the Dean of the medical school, Dr. David W. E. Baird. This blossomed into an open argument in the local press, with the Dean's allies attacking Pickering's personality and mental health. Joseph A. Adams, former head of public relations, remembers Pickering as the aggressor in the matter, a man who got into legal trouble that the dean had to answer for, and whose resignation was a bluff which the Dean cannily called. Dr. Peter Bentley simply says that Pickering was an abrasive manager who was quickly fired. Dr. Richard Jones recalls that the conflict played out over a computer -- a significant purchase in 1963 -- which Dr. Pickering bought without authorization using NIH funds. He speaks warmly of Dr. Pickering's intellectual curiosity, ambition, and creativity, and also of his unapologetic ego. Of all of these accounts, Dr, Jones's appears to be the most objective, although that doesn't mean it's the most correct.

It's always an interesting challenge to delve into institutional history without simply digging up old dirt. I was tempted to stop with the irresistible phrase "the Pickering Debacle," but of course a little research revealed a much more complicated and suggestive story about a rapidly growing institution whose ambitious staff tended to burn hot. It all has very little to do with the fetal development of rhesus macaques, but somehow, in between all the drama, Dr. Pickering found the time to conduct and collect his research into his two elegant notebooks.

Tuesday, August 08, 2017

New collection: Donald L. Blanchard papers

by Jaime Bogdash

Strabismic eyes, page 15

Chronic Fluxes of the Eyes, page 100
I've recently finished processing the Donald L. Blanchard papers. Dr. Blanchard is a native of Portland and an alumnus of the OHSU (or UOMS, rather) School of Medicine. He worked at OHSU as an ophthalmologist and is also a medical historian, and although Dr. Blanchard has retired, he still volunteers at the Casey Eye Institute. This collection contains articles written by Dr. Blanchard, papers from the Cogan Ophthalmic History Society's annual meetings, and Blanchard’s writings about German physician Georg Bartisch, as well as his translation of Bartisch’s grand Ophthalmodouleia. In addition, the collection contains an Iceland Spar which has been used in ophthalmology for glaucoma management and ophthalmoscopy. To read more about Iceland Spar and ophthalmology please see a previous blog post about Dr. Blanchard’s Iceland Spar presentation.

Blanchard has done extensive studying and writing about Georg Bartisch and his work. Bartisch was a German physician in the 1500s who is thought to be the first to produce a Renaissance manuscript on ophthalmic disorders and eye surgery.

Application of Medicine, page 146
His text, Ophthalmodouleia Das ist Augendienst, was written in 1583 and contains descriptions of varied ocular diseases and surgical techniques and tools. The book also contains 92 amazing wood cut illustrations of these various eye diseases and tools. Bartisch was an avid fan of magic, witch craft, and herbal remedies, so some of the cures contain some less common practices in ophthalmology. In 1996, Blanchard translated Bartisch’s text into English and included many of the original, beautiful, and often graphic illustrations.


The Donald L. Blanchard papers contain a printer's proof of the translation; a final published version, as well as Bartisch's original, can be found in the HC&A rare book collections. Blanchard’s other articles discuss the historical significance of Bartisch’s work. Overall, this collection contains quite a diverse and interesting looking into ophthalmological history.

Friday, July 21, 2017

New collection: Crohn's support groups of yore

by Rachel Fellman 

Crohn's-Colitis Chronicle, from collection 2017-005
We are all archivists, though some of our collections are more organized than others. This is an important concept to hold onto if we’re ever tempted to think of archives as a rarefied job practiced only by serious people in dust masks. Librarians and archivists do take our work seriously, and we do wear dust masks on especially awesome days, but what we do is only the professional side of a universal practice: organizing the records and artifacts that make up our stories.

I was thinking about this as I processed my first collection today. It came to us as a small (0.25 linear feet) binder of information about Crohn’s disease, collected by the donor over a thirty-year period, with the majority dating from the eighties and nineties. There are folders of national and local newsletters, newspaper clippings, articles, and pamphlets.

The binder is like a personal medical textbook, the ephemera of many years of living with a painful and unglamorous illness. But it also provides many fragments of intriguing medical history. How did support groups see and present themselves in the early eighties, when a community of the sick was still a new idea? How did people in the local groups feel about their illness, and what attitudes did they urge on each other? How did they use the local and national organizations to advocate and bond? (The various newsletters include both member profiles and personal ads.) How did '80s and '90s doctors explain Crohn’s to newly diagnosed adults and teenagers, and how did they counter assumptions that it was psychosomatic? (One pamphlet even explains that “this brochure can be offered as a reference when friends and colleagues seem to think that ileitis or colitis are caused by being 'overly emotional'”).

It’s easy to let the less concrete parts of history disappear. A person born in 1990 would be only 27 today, and yet that world still seems very distant – especially the parts about how people talked to each other outside the world of books and glossy magazines. A lot of that is locked up in memory, which is notoriously unreliable and prone to overwriting. With collections like this, we can take a more accurate look at how people felt about illness before the Internet, and we’re grateful to our donor for maintaining it for all that time.

You can read the full finding aid for this collection here (via Archives West).