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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This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.

Johannes Veslingius Mindanus
Click for the title page

Johannes Veslingius Mindanus (1598 – 1649). German surgeon, anatomist, botanist, and pharmacologist. Johann Vesling (mostly known by his Latinized name “Johannes Veslingius”) was born in a catholic family in Minden, Westphalia. He studied medicine in Leyden and Bologna. He later moved to the Venice medical college, where he became a professor of Anatomy in 1627. Veslingius had an interest in botany, which he pursued his whole life. Although German-born, Veslingius did most of his work and career in Italy. 

In 1628 he traveled to Egypt and Jerusalem as a personal physician of Alvise Cornaro, the Venetian consul in Cairo. In 1632 he became a professor of anatomy and surgery at the University of Padua, in Italy, forcing his return from Jerusalem. At Padua, Veslingius became part of the long list of anatomists that followed Andreas Vesalius’ position.

Veslingius was the first to describe the arterial circle of the brain, eponymically tied today to Thomas Willis, and he was the first to name the soleus muscle, as it resembles the sole fish. In his words: “soleus, a figura piscis denominatus” translated “soleus, named for its fish shape”. Apparently, he was also the first to describe the pancreatic duct which lead to controversy with Wirsung. Veslingius was also the first to describe the four pulmonary veins, described as four of the great vessels.

Veslingius published his most important work, “Syntagma Anatomicum, publicis dissectionibus in auditorum usum diligenter aptatum”, in 1641. This work, which originally had no images, was republished in 1647 with full images in copper plates. This original work is important as it leaves the Vesalian tradition of posing the anatomical images with backgrounds and landscapes, dedicating the image solely to the anatomical information; in fact this is the first book to publish original images not copied or inspired from Vesalius’ Fabrica.  This book was the first to influence Japanese anatomy.

Incredibly, Veslingius was accused of murdering Johan Georg Wirsung (1589 - 1643) with whom he had academic conflicts. Veslingius was acquitted of the accusation, and the name of Wirsung is today eponymously attached to the pancreatic duct.

The accompanying image is from the “Syntagma Anatomicum” and shows Veslingius with the following Latin words around him: “Ioannes Veslingius Mindanus Eques Hieros In Patauino Gymnasio Anatom. et Phar. Profess. Primarius” translated as: Johannes Veslingius Mindanus, Knight of Jerusalem, Primary Professor of Anatomy and Pharmacology of the School of Padua.

Below the image you can read: “Talis Apollinea floret Veslingius Arte. Purpureus nives pectore fulget Honor”, translated as:  Veslingius flourishes by the art of Apollo who honors him by shining purple snow on his chest. Click on the image for a larger depiction and to see the Latin text.

Personal note: I am proud to have in my library catalog one of Veslingius’ original prints: “Tavole Anatomiche del Veslingio – Spiegate in Lingua Italiana” (Anatomical images from Veslingius, written in Italian), published in 1745 by Giovanni Battista Conzatti. Dr. Miranda

Original image  courtesy of NLM. The title page of Syntagma Anatomicum courtesy of archive.org. Both images are in the public domain. 

Sources:
1. “The Fabric of the Body. European Tradition of Anatomical Illustration” Roberts KB, Tomlinson JDW (1992) Oxford: Clarendon.
2. “The evolution of anatomical illustration and wax modelling in Italy from the 16th to early 19th centuries” Riva, A. et al. J. Anat. (2010) 216, 209–222
3. “The Anatomical School of Padua” Porzionato, A. et al. Anat Rec (Hoboken). 2012 Jun; 295(6):902-16
4. “The Origin of Medical Terms” Skinner, HA. 1970 
5. "Johann Vesling (1598–1649):Seventeenth Century Anatomist of Padua and His Syntagma Anatomicum" SK Ghosh J Clin Anat 2014 
Original image  courtesy of the National Library of Medicine. The title page of Syntagma Anatomicum courtesy of archive.org. Both images are in the public domain.