Medical Terminology Daily - Est. 2012

Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.

You are welcome to submit questions and suggestions using our "Contact Us" form. The information on this blog follows the terms on our "Privacy and Security Statement" and cannot be construed as medical guidance or instructions for treatment.


We have 633 guests and no members online


A Moment in History

Marcia Crocker Noyes
(1869 – 1946)

Further to my comment on old books and research that started with an interesting bookplate (Ex-Libris). I continued my research and found that the person in charge of the Osler library bookplate was a fascinating individual that today maybe a ghost in the MedChi library and building in Baltimore... This is certainly an article that can be called "A Moment in History"

Marcia Crocker Noyes was the librarian at The Maryland State Medical Society from 1896 to 1946 and was a founding member of the Medical Library Association.[1][2][3]

Sir William Osler, MD. a famous Johns Hopkins surgeon was a noted bibliophile and had a large personal collection of books on various topics. When he became the President of MedChi in 1896, he was dismayed at the condition of the library and knew that with the right person and some stewardship, it could become a significant collection. Sir William asked his friend, Dr. Bernard Steiner, a physician and President of the Enoch Pratt Free Library in Baltimore for suggestions of a librarian, and Dr. Steiner recommended Marcia Crocker Noyes. A native of New York, and a graduate of Hunter College, Marcia had moved to Baltimore for a lengthy visit with her sister, and took a “temporary” position at the Pratt Library, which turned into three years. Although she had no medical experience or background, she was enthusiastic, and most importantly, she was willing to move into the apartment provided for the librarian, who needed to be available 24 hours a day.

The image in this article is Ms. Noyes on her first year on the job. Marcia developed a book classification system for medical books, based on the Index Medicus, and called it the Classification for Medical Literature. The system uses the alphabet with capital letters for the major divisions of medicine and lower-case ones for the sub-sections. The system was used for many years, but it's now dated and the Faculty's original shelving scheme was never changed. The card catalogs still reflect her classification and many of the cards are written in Marcia's back-slanting handwriting.

Marcia knew enough to ask the Faculty's members about medical questions, terminology and literature. She gradually won over the predominantly male membership and they became her greatest allies; Sir William at the start, and then for nearly 40 years, Dr. John Ruhräh, a wealthy pediatrician with no immediate family of his own. She made a point of attending almost every Faculty function, and in 1904, under guidelines from the American Medical Association, Marcia was made the Faculty Secretary. For much of her first 10 years, she was the Faculty's only full-time employee, only being assisted by Mr. Caution, the Faculty's janitor. Later in life Marcia would say that she hired him because of his name!

Within ten years, the library had outgrown its space, and plans, spearheaded by Marcia and Sir William before his move to Oxford, were made to build a headquarters building, mainly to house the library's growing collection of medical books and journals.

Marcia was instrumental in the design and building of the new headquarters. She travelled to Philadelphia, New York and Boston to look at their medical society buildings, and eventually, the Philadelphia architectural firm, Ellicott & Emmart was selected to design and build the new Faculty building. Every detail of the building held her imprimatur, from the graceful staircase, to the light-filled reading room, and all of the myriad details of the millwork, marble tesserae, and most of all, the four-story cast iron stacks. She was on-site, climbing up unfinished staircases, checking out the progress of the building, which was built in less than one year at a cost of $90,000.

Among the features of the new building was a fourth-floor apartment for her. She referred to it as the "first penthouse in Baltimore" and it had a garden and rooftop terrace. The library collection eventually grew to more than 65,000 volumes from medical and specialty societies around the world. Journals were traded back and forth, and physicians eagerly anticipated the arrival of each new issue. At the same time, Marcia was involved in the Medical Library Association as one of eight founding members. The MLA promotes medical libraries and the exchange of information. One of the earliest mandates of the MLA was the Exchange, a distribution and trade service for those who had duplicates or little-used books in their collections. Initially, the Exchange was run out of the Philadelphia medical society, but in 1900 it was moved to Baltimore and Marcia oversaw it. Several hundred periodicals and journals were received and sent each month, a huge amount of work for a tiny staff. In 1904, the Faculty had run out of room to manage the Exchange, so it was moved to the Medical Society of the Kings County (Brooklyn). But without Marcia's excellent administrative skills, it floundered and in 1908, the MLA asked Marcia to take charge once again.

In 1909, when the new Faculty building opened, there was enough room to run the Exchange and with the help of MLA Treasurer, noted bibliophile and close friend, Dr. John Ruhräh, it once again became successful. Additionally, Marcia and Dr. Ruhräh combined forces to revive the MLA's bulletin, which had all but ceased publication in 1908, taking the Exchange with it. This duo maintained editorial control from 1911 until 1926. In 1934, around the time of Dr. Ruhräh's death, Marcia became the first “unmedicated” professional to head the MLA. During her tenure, the MLA incorporated, the first seal was adopted, and the annual meeting was held in Baltimore. Marcia wanted to write the history of the MLA once she retired from full-time work at the Faculty, but her health was beginning to fail. She had back problems and had suffered a serious burn on her shoulder as a young woman, possibly from her time running a summer camp, Camp Seyon, for young ladies in the Adirondack Mountains. In 1946, a celebration was planned to honor Marcia's 50 years at the Faculty. But she was adamant that the physicians wait until November, the actual date of her 50 years. However, they knew she was gravely ill, and might not make it until then, so a huge party was held in April. More than 250 physicians attended the celebration, but the ones she was closest to in the early years, were long gone. She was presented with a suitcase, a sum of money to use for travelling, and her favorite painting of Dr. John Philip Smith, a founder of the Medical College in Winchester, Virginia. It was painted by Edward Caledon Smith, a Virginia painter who had been a student of the painter Thomas Sully.[4] She adored this painting and vowed, jokingly, to take it with her wherever she went.

The painting was not to stay with her for very long, for she died in November 1946, and left it to the Faculty in her will. Her funeral was held in the Faculty's Osler Hall, named for her dear friend. More than 60 physicians served as her pallbearers, and she was buried at Baltimore's Green Mount Cemetery. In 1948, the MLA decided to establish an award in the name of Marcia Crocker Noyes. It was for outstanding achievement in medical library field and was to be awarded every two years, or when a truly worthy candidate was submitted. In 2014, the Faculty began giving a bouquet of flowers to the winner of the award in Marcia's name, and in honor of her work. Much evidence exists for this tradition, as we know that the physicians, especially Drs. Osler and Ruhräh, frequently gave her bouquets of flowers. Marcia also cultivated flower gardens at the Faculty and decorated the rooms with her work.

Today, the MedChi building is open for tours and if the rumors are to be believed Ms. Marcia Crocker Noyes is still at work in her beloved library as the "resident ghost" [1][5]

Marcia Noyes handwriting

NOTE: This article has been modified from the original Wikipedia article on Marcia Crocker Noyes. The article itself is well-written with interesting images of the subject. I would encourage you to visit it. The second insert is from book 00736 in my personal library and shows in pencil, the incredibly small handwriting of Marsha C. Noyes.

Sources:
1. "Marcia, Marcia, Marcia" MedChi Archives blog.
2. "Marcia C. Noyes, Medical Librarian" (PDF). Bulletin of the Medical Library Association. 35 (1): 108–109. 1947. PMC 194645
3. Smith, Bernie Todd (1974). "Marcia Crocker Noyes, Medical Librarian: The Shaping of a Career" (PDF). Bulletin of the Medical Library Association. 62 (3): 314–324. PMC 198800Freely accessible. PMID 4619344.
4. Edward Caledon BRUCE (1825-1901)"
5. Behind the scenes tour MedChiBuilding


 "Clinical Anatomy Associates, Inc., and the contributors of "Medical Terminology Daily" wish to thank all individuals who donate their bodies and tissues for the advancement of education and research”.

Click here for more information


bookplateink.com

 

 


This article was written by Maurits Biesbrouck, MD.  It is an expanded version of Dr. Biesbrouck’s  communication on the International Conference Vesalius Continuum on the Ionian island of Zakynthos (Greece) on September 5th, 2014. This study is the result of a close collaboration with Dr. Biesbrouck’s colleagues and friends Prof. Omer Steeno and Dr. Theodoor Goddeeris, as a trio nicknamed ‘Cerberus’ by Theo Dirix, then the Consul of Belgium in Athens, and co-organizer of the conference with Pascale Pollier, Mark Gardiner and Ann Van de Velde.


In this overview I will try to tell something about the reasons for Andreas Vesalius’ travel, his stay in the Holy Land, his return voyage, the cause of his death, his burial place, and his epitaph. This text contains some new details and insights since our previous publications (1).

Front cover of Barón Fernández’s Vesalius biography (1970) which contains the four letters found in the Archives of Simancas (Spain)
Title page of Barón Fernández’s
Vesalius biography (1970)

The legends

Many biographers wrote about the last months of Andreas Vesalius’ life. But because the necessary primary sources have been lacking, most of their stories should be regarded now as speculative. Thanks to the discovery of several letters in the archives of Simancas by José Barón Fernández in 1962 various points became clearer. As he presented the letters at the 19th International Congress on the History of Medicine in Basel in September of that year, it remains very strange that his important contributions remained unnoticed. Yet they were published at several instances in Spanish, a world language (2).

But first, something about the legends. The most persistent story, has it that Vesalius performed a dissection in Spain, on a nobleman whose heart was still beating when he exposed it, causing a great outcry. As a result Vesalius was condemned to death by the Inquisition, a sentence being commuted to perform a pilgrimage to Jerusalem, thanks to the intervention of Philip II, king of Spain.

There are numerous variants of this story, and anyone looking through the literature, invariably comes across one of these. Apart from this story - a legend as we must assume - here is a summary of the other so-called reasons that led Vesalius to travel to Jerusalem, according to different writers: for killing a woman; for dissecting a cleric’s mistress; because of an insatiable lust for wealth; to be away from his (quarrelsome) wife; troubles with the Galenist Spanish physicians; to escape from the tiresome Spanish Court; a promise after recovering from an illness; etc.

What is remarkable is that all these stories, without exception, only started to circulate after Vesalius’ death. It may be interesting however to look at the origin of the Inquisition story, the most tenacious one. This was caused by a short letter (merely twenty-four short rules) from Hubertus Languetus (1518-1581), a French diplomate, written in Paris on January 1st, 1565 to Caspar Peucer (1525-1602), physician and son-in-law of Philipp Melanchthon (1497-1560). That was ten weeks after Vesalius’s death. Michael J. North (Head of Rare Books and Early Manuscripts in the History of Medicine Division at the National Library of Medicine) had the lucky idea to reproduce a manuscript of it (3). 

[Note: The manuscript is two pages and can be seen here: [Page 1]; [Page 2].

Here is a transcription:

De morte Vesalii ex literis Huberti Langueti, scriptis ad D. D. Casparum Peucerum anno Theos krononias 1565 Mense janu.

Fama est Vesalium esse mortuum audivisti proculdubio eum Hierosolymam esse profe ctum. Causa istius profectionis est mirabilis ut ad nos perscriptum est. Commissus erat eius curae viri nobilis in hispania, quem cum obiisse existimaret, nec satis causam mortis sibi percepisse videretur, petebat ab amicis uti sibi liceret corpus dissecare. Cumque pectus apperuisset, reperit cor palpitans. Cognati illius mortui non contenti erant illum accusare factae caedis accusarent impietatis apud inquisitionem existimantur se ibi vindictam vehementiorem assecuturos. Cum iam constaret de caede, nec tam facile excusaretur error medici tam periti, voluit omnino inquisitio de eo sumere supplicium. Vixque potuit autoritate sua vel potius precibus eum a tanto periculo eripere Rex ipse. Tandem concessum est Rei, et toti aulae pro eo deprecanti, ea conditione, ut ad expiandum illud scelus proficisceretur Jerosolymam ad montem Sinai. Vale. Datur Lutetiae calend Janu. anno a nato Christo 1565.

Translation

On the death of Vesalius, from a letter by Hubert Languet, written to doctor Caspar Peucer in January 1565 pcn. 

Rumor has it that Vesalius is dead. You undoubtedly heard of his travel to Jerusalem. The reason for his departure, as it was written to us, is remarkable. In Spain the cure of a nobleman was trust to him. Thinking he was deceased, but not convinced about the cause of his death, he asked his friends to dissect the body. But on opening the chest he found the heart beating. The relatives of the deceased, not satisfied with an accusation for the committed murder, found it necessary to accuse him of godlessness before the Inquisition to obtain a more severe punishment. Once things became clear it was not so easy to excuse that error in a man of such an experience.

In short, the Inquisition intended to execute him. The King himself hardly succeeded to withdraw him from that great danger, relying on his authority or rather on his appealing. Eventually the King, and the entire Court that was pleading for him, were given in, on the condition that he should make a travel to the Mount Sion near Jerusalem, as a penalty for that crime. All the best, Paris, January 1st, 1565.


Article continued here: Andreas Vesalius’s fatal voyage to Jerusalem (2).


Sources and author's comments:
1. Maurits BIESBROUCK, Omer STEENO. ‘The last months of Andreas Vesalius. Part I - From Monzon (Aragon) to Jerusalem’ in Vesalius - Acta Internationalia Historiae Medicinae, 2010, 16 (no. 2): 100-106, ill.; IDEM, ‘The last months of Andreas Vesalius. Part II - From Jerusalem to Zakynthos (Zante)’ in Vesalius - Acta Internationalia Historiae Medicinae, 2011, 17 (no. 1): 30-34, ill. Also Maurits BIESBROUCK, Theodoor GODDEERIS, Omer STEENO. ‘The Last Months of Andreas Vesalius: a Coda’ in Vesalius - Acta Internationalia Historiae Medicinae, 2012, 18 (no. 2): 70-75, ill..  
2.For the various publications on this subject by José Barón Fernández (and by others as well) see section ‘bibliography’ in www.andreasvesalius.be  
 
3. Michael J. NORTH, ‘The Death of Andreas Vesalius’ in Circulating Now, U.S. National Library of Medicine, 15.10.2014, 2 pp., ill.; see http://circulatingnow.nlm.nih.gov/2014/10/15/ the-death-of-andreas-vesalius/. > Also https://www.facebook.com/nationallibraryofmedicine/ posts/10152749352150491.