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A Moment in History

Self-portrait, Henry Vandyke Carter, MD (Public Domain)
Self-portrait, Henry Vandyke Carter, MD (Public Domain)

Henry Vandyke Carter, MD
(1831 – 1897)

English physician, surgeon, medical artist, and a pioneer in leprosy and mycetoma studies.  HV Carter was born in Yorkshire in 1831. He was the son of Henry Barlow Carter, a well-known artist and it is possible that he honed his natural talents with his father. His mother picked his middle name after a famous painter, Anthony Van Dyck. This is probably why his name is sometimes shown as Henry Van Dyke Carter, although the most common presentation of his middle name is Vandyke.

Having problems to finance his medical studies, HV Carter trained as an apothecary and later as an anatomical demonstrator at St. George’s Hospital in London, where he met Henry Gray (1872-1861), who was at the time the anatomical lecturer. Having seen the quality of HV Carter’s drawings, Henry Gray teamed with him to produce one of the most popular and longer-lived anatomy books in history: “Gray’s Anatomy”, which was first published in late 1857.  The book itself, about which many papers have been written, was immediately accepted and praised because of the clarity of the text as well as the incredible drawings of Henry Vandyke Carter.

While working on the book’s drawings, HV Carter continued his studies and received his MD in 1856.

In spite of initially being offered a co-authorship of the book, Dr. Carter was relegated to the position of illustrator by Henry Gray and never saw the royalties that the book could have generated for him. For all his work and dedication, Dr. Carter only received a one-time payment of 150 pounds. Dr.  Carter never worked again with Gray, who died of smallpox only a few years later.

Frustrated, Dr. Carter took the exams for the India Medical Service.  In 1858 he joined as an Assistant Surgeon and later became a professor of anatomy and physiology. Even later he served as a Civil Surgeon. During his tenure with the India Medical Service he attained the ranks of Surgeon, Surgeon-Major, Surgeon-Lieutenant-Colonel, and Brigade-Surgeon.

Dr. Carter dedicated the rest of his life to the study of leprosy, and other ailments typical of India at that time. He held several important offices, including that of Dean of the Medical School of the University of Bombay. In 1890, after his retirement, he was appointed Honorary Physician to the Queen.

Dr. Henry Vandyke Carter died of tuberculosis in 1897.

Personal note: Had history been different, this famous book would have been called “Gray and Carter’s Anatomy” and Dr. Carter never gone to India. His legacy is still seen in the images of the thousands of copies of “Gray’s Anatomy” throughout the world and the many reproductions of his work available on the Internet. We are proud to use some of his images in this blog. The image accompanying this article is a self-portrait of Dr. Carter. Click on the image for a larger depiction. Dr. Miranda

Sources:
1. “Obituary: Henry Vandyke Carter” Br Med J (1897);1:1256-7
2. “The Anatomist: A True Story of ‘Gray’s Anatomy” Hayes W. (2007) USA: Ballantine
3. “A Glimpse of Our Past: Henry Gray’s Anatomy” Pearce, JMS. J Clin Anat (2009) 22:291–295
4. “Henry Gray and Henry Vandyke Carter: Creators of a famous textbook” Roberts S. J Med Biogr (2000) 8:206–212.
5. “Henry Vandyke Carter and his meritorious works in India” Tappa, DM et al. Indian J Dermatol Venereol Leprol (2011) 77:101-3


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The Strange and Short Life of “The Anatomical Basis of Medical Practice”

The title of this article paraphrases the title of a paper authored by Edward Halperin, MD, MA., and published in “Academic Medicine,” the Journal of the Association of American Medical Colleges in February 2009. More information in the "Sources" section of this article. I have also used other sources to complete this "strange tale."

"The Anatomical Basis of Medical Practice" was published in 1971  by Williams & Wilkins. A large and heavy book, it is one of the many anatomy books written for medical students. This one however, stirred a controversy because of the "tongue-in-cheek" writing style of the authors and mostly because of the photographs of female nude models in seductive poses pretending to depict surface anatomy. The pictures were taken by a famous photographer, Peter Gowland.

Initial reviews were positive, as stated in the British Journal of Surgery, where the book is praised saying: "one only wishes that such a book was available when one was a student in the dissecting room."

Other reviews were more negative, as Dr. Edward A. Edwards in 1972 states: "...I feel compelled to say that the numerous photographs of comely young women, while enticing, no not well demonstrate the muscles and bony points the legends suggest as their purpose." He also says: "The book is marred by a waggishness expressed in facetiousness and in long digressions...."

 The Anatomical Basis of Medical Practice - Book Cover”
The Anatomical Basis of Medical Practice - Book Cover
Click on the image for a larger version

Soon negative reactions to the book took place, many of them from anatomy professors who saw the illustrations as "out of place" and "not needed". Interestingly only a small percentage of the total images were of the "Playboy" style, while the rest of the images, photographs and sketches are of high educational quality.

Estelle R. Ramey, Emeritus Professor of Physiology and Biophysics at the Georgetown University School of Medicine, in a letter to the Association of Women in Science stated “In effect, the entire book is a calculated insult to women and men alike. It demeans the whole profession of medicine and is openly contemptuous of middle-aged women whose breasts are not so round and may even be rotting with cancer.” The AWIS as a whole threatened to boycott Williams and Wilkins Publishing, and as a result, the book was pulled off the market.

The story gets more interesting. Because of public pressure, angry letters to the publisher, and boycotts, the publisher agreed to sop all promotion, marketing, and sales of the book. Many assumed that they pulled the book off the market when, apparently because of low sales, they just let the initial run sell out by December 1972 and never republished it.

I do agree that the book transgresses the lines of decorum and respect for women that exist today. At the time of its publication the feminine movement was starting, and I think the authors tried (and failed) to have a humorous approach to what is at best, a difficult subject.

The book itself is a great book on anatomy and superficial anatomy, notwithstanding the images and comments. Since it was published and because of its scarcity, it has become a rare book, and as Dr. Halperin states “a minor collector’s item.” When published, this book sold for US$23.00. In 2009, at the time Dr. Halperin published his paper, the book was valued between US$ 89.00 and US$ 300.00; today (2022,) the book is valued between US$ 575.00 and US$1,000.00 in Abebooks.com.

"The Anatomical Basis of Medical Practice" by Becker, R; Frederick; Wilson, James W; and Gehweiler, John, A. is one of the many books in my library and it has become known as “the green book” among my colleagues because of its bright green cloth hardcover. The image in this article is from the book in my library.

Sources:

1. “The Pornographic Anatomy Book? The Curious Tale of The Anatomical Basis of Medical Practice" Halperin, E. Academic Medicine: February 2009 - Volume 84 - Issue 2 - p 278-283
2. "The anatomical basis of medical practice." By R. Frederick Becker, Ph.D., James W. Wilson, Ph.D., M.D., and John A. Gehweiler, M.D. 11 × 8¼ in. Pp. 907 + xv. Illustrated. 1971. Edinburgh: Churchill Livingstone.
3: "Five centuries of gender bias in anatomy" Elisabeth Brander — December 9, 2021
4. " The Anatomical Basis of Medical Practice (NSFW)" September 10th, 2012
5. "The Anatomical Basis of Medical Practice" by Becker, R; Frederick; Wilson, James W; and Gehweiler, John, A. 1971. The Williams & Wilkins Company
6. "The Anatomical Basis of Medical Practice" Book Review by Edwards, E. Ach. Surg. 1972;104(2):227