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.

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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


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Book Cover, cropped
Book cover, cropped


I recently added a new book to my library. It is in Spanish and titled "La Forma Humana de la Línea", which can be loosely translated to "The Human Form of the Line", referring to the hand-drawn images of human skeletal anatomy in the book.

"La forma humana de la línea" Katherine Estrada Suazo. ISBN 9789564021898, 2020. América Impresores. Valdivia, Chile

This is an extraordinary book that depicts in 90 pages and 40 plates the human bony anatomy in beautiful detail using a technique described by Leonardo Da Vinci in his “Trattato della Pittura” (A Treatise on Painting), chapter CXXVI. The author, Katherine Estrada Suazo, draws in hyperrealist detail single bones, a full skeleton, fetal skeletons in a seldom seen detail.

The introduction, the words of the artist, the analysis of Leonardo Da Vinci's technique, and the closing comments are a rare form of high level prose with mastery of the Spanish language that reads almost like poetry.

The book itself is a printing marvel. An uncommon large size (9½ by 15¾ inches/24 by 40 cm.), in a high quality acid-free heavy paper, with beautiful typesetting. The book also includes one large insert measuring 29½ by 9 inches (75 by 23 cm).

This work was supported by Morphology Professor, Patricia Hernández Coliñir at the Anatomy Unit of the Medical School of the Universidad Austral de Chile in the city of Valdivia, where it was printed by the América Impresores printing press. The author also received support from the Chilean government through the Regional FONDART (Regional Ministerial Secretary of Culture, Arts and Heritage). As far as I understand, this book is not for sale, which makes it a rare book.

I became aware of this book at the XLIII Annual Chilean Meeting of Anatomy, where I was invited to present the conference I delivered initially in May 2023 at the University of Antwerp, Belgium. An anatomy professor of the Universidad Austral de Chile, Ana Barriga K., had a copy of the book that was gifted to Dr. Carlos Machado, a good friend and famous medical illustrator of Netter’s Anatomy Atlas.

The road to obtaining the copy of the book included contacting the author and with the help of Professor Barriga, and a friend from Chile, the book went from Valdivia (Chile) to Santiago (Chile), to Mexico, and the US. This copy is dedicated by the author as follows: “Dedicated to Dr. Efrain Miranda. Signed in Valdivia, June 2024”, followed by her signature.

In a recent conversation with the author, she stated that "restricting access to this publication was never my intention", and although having the signed book for me is very important, Ms. Estrada has authorized the open download of the digital edition of the book in PDF format, which you can download here. (19 Mb)

Personal remark: As a side note, the city of Valdivia in Chile, where this book was designed and printed, is the city where my mother was born. Dr. Miranda


Plate 1: Cranium, superolateral view
Lámina1: Cráneo, vista súperolateral


Recientemente agregué un nuevo libro a mi biblioteca. Está en español y se titula "La Forma Humana de la Línea", en referencia a las imágenes dibujadas a mano de la anatomía esquelética humana que aparecen en el libro.

"La forma humana de la línea" Katherine Estrada Suazo. ISBN 9789564021898, 2020. América Impresores. Valdivia, Chile

Este es un libro extraordinario que describe en 90 páginas y 40 láminas la anatomía ósea humana con hermoso detalle utilizando una técnica descrita por Leonardo Da Vinci en su “Trattato della Pittura” (Tratado sobre la pintura), capítulo CXXVI. La autora, Katherine Estrada Suazo, dibuja con detalles hiperrealistas huesos individuales, un esqueleto completo y esqueletos fetales con un detalle pocas veces visto.

La introducción, las palabras del artista, el análisis de la técnica de Leonardo Da Vincy y los comentarios finales son una forma poco común de prosa de alto nivel con dominio del lenguaje español que se lee casi como poesía.

El libro en sí es una maravilla de impresión. Un tamaño grande poco común (9½ por 15¾ pulgadas/24 por 40 cm.), en un papel pesado libre de ácido de alta calidad, con una hermosa composición tipográfica. El libro también incluye un inserto grande que mide 29½ por 9 pulgadas (75 por 23 cm).
Este trabajo fue apoyado por la Profesora de Morfología, Patricia Hernández Coliñir en la Unidad de Anatomía de la Facultad de Medicina de la Universidad Austral de Chile en la ciudad de Valdivia, donde también fue impreso por la imprenta América. El autor también recibió apoyo del gobierno de Chile a través del Fondart Regional (Secretaría Regional Ministerial de Cultura, las Artes y el Patrimonio). Según tengo entendido, este libro no está a la venta, lo que lo convierte en un libro raro.

Me enteré de este libro en la XLIII Reunión Anual Chilena de Anatomía, donde me invitaron a presentar la conferencia que di inicialmente en mayo de 2023 en la Universidad de Amberes, Bélgica. Una profesora de anatomía de la Universidad Austral de Chile, Ana Barriga K., tenía una copia del libro que fue obsequiada al Dr. Carlos Machado, un buen amigo y famoso ilustrador médico del Atlas de Anatomía de Netter.

El camino para obtener la copia del libro incluyó contactar al autor y con la ayuda de la profesora Barriga y un amigo de Chile, el libro viajó desde Valdivia (Chile) a Santiago (Chile), a México y a los Estados Unidos. Este ejemplar está dedicado por la autora de la siguiente manera: “Dedicado al Dr. Efraín Miranda. Firmado en Valdivia, junio de 2024”, seguido de su firma.

En una reciente conversación con la autora, ella afirmó que “nunca fue mi intención restringir el acceso a esta publicación”, y aunque tener el libro  firmado para mí es muy importante, la autora ha autorizado la descarga abierta de la edición digital del libro en formato PDF, que pueden descargar aquí. (19 Mb)

Observación personal: Como nota al margen, la ciudad de Valdivia en Chile donde se diseñó e imprimió este libro, es la ciudad donde nació mi madre. Dr. Miranda.