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.

Folder of "Sutures in Ancient Surgery"
Folder of "Sutures in Ancient Surgery"

This article is the continuation of The interesting story of “Sutures in Ancient Surgery” (1).

3. The content of the publication, images, and controversy

Each tableaux vivant depicted a scene of history of surgery, with a short description of the individual and their accomplishments. In general, these descriptions are accurate, but very short. The objective was to allow the doctor to read the text, admire the image and leave time for the medical representative to deliver their presentation of a particular product.

Each page was printed in black and white, on a high quality paper measuring 12 by 9 ¼ inches. The paper itself was originally lightly yellowed to denote that this was an historical image. In fact, many doctors believed that these were reproductions of antique paintings, which they were not! The image itself was 6 ½ by 5 ¼ inches.

In some images it is clear that the background was painted. In fact, the image of Hyeronimus Fabricius Ab Aquapendente (157-1619) published in 1927, shamelessly copies part of the background of the 1555 title page of the Fabrica of Andreas Vesalius (1514-1564), or one of the many plagiarisms of the same book.

The controversy today lies with a number of women depicted with their nude breasts. In one case, (“Aspasia”, published in 1933) the photograph depicts five women including Aspasia, all of them showing a naked breast. Although “Sutures in Ancient Surgery” is criticized for this easy depiction of nudity, only 30% fall in this category.

Adding Aspasia of Miletus to this collection of physicians also brought criticism, not only for the nudity, but for the fact that Aspasia is a legendary figure whose life is in question as well as her place in Greek society. Some say that she was a prostitute and the regent of a house of ill repute, other say that she was a teacher of philosophy along with Socrates and that she was married to Pericles. Others say that she never existed, yet her name and life has been used in a novelized two-tome book. Why was she selected for this collection? No one knows.

Following are some images from "Sutures in Ancient Surgery".

Pierre Pigray (d.1613)Pierre Pigray (d.1613)

Walter Herman Ryff
Walter Herman Ryff

Hyeronimus Fabricius Ab Aquapendente (1537-1619)Fabricius Ab Aquapendente (1537-1619)

Yasuhoi Tambu (c. 980 A.D.)

Yasuhoi Tambu (c. 980 A.D.)

4. Missing prints

Because these prints were presented as loose-leaf items to the doctors, many of them have been lost. Some historians comment that doctors would frame these images and use them in their offices, so a complete collection of the 83 photographs is extremely difficult to find. In once case, it is known that a hospital had the complete collection framed in one of its hallways (Sobieszek, 1988) which hospital, or what happened to that collection is unknown.

Today, the “Sutures in Ancient Surgery” folders found for sale in antique libraries have a varying number of prints, all of them incomplete. Some universities list them in their libraries and in one case, they have only three prints in their collection!

My research has been able to find the names of 76 of the tableaux vivants in this collection, but I have not been able to find the names of seven of these prints.

The folder that I received from Jack Kennedy contains 75 prints, and I am looking for the last eight including that of Teodorico Borgognoni, year of printing unknown.

If you have any or know of someone that owns a few in this collection, please contact me. I prepared an PDF file with  the prints I have as well as those I do not. You can download it here.

Once again, thanks to Jack Kennedy for his addition to my collection. It has been an interesting research and I look forward to the next one!!

Sources:
1. UConn library Archives and Special Collections: Davis and Geck company records.
2. SNAC-Social Network and Archival Context: Davis and Geck Company.
3. “Soak it up: Examining bioabsorbable polymers in healthcare” Medical Plastic News
4. “The striking social tableaux vivants of Lejaren à Hillier” J.T.H. Connor. Hetkoen International
5. “Photography view; when tableaux vivants flowered in the magazines” Gene Thorton. The New York Times. March 2, 1986.
6.” Tableaux Vivants: A Long History of Recreating Art” Karolina Dzimira-Zarzycka. Daily Art May 1, 2020
7. “Medical History’s Moment in Art Photography (1920 to 1950): How Lejaren à Hillier and Valentino Sarra Created a Fashion for Scenes of Early Surgery” Journal of the History of Medicine and Allied Sciences, Volume 72, Issue 4, October 2017, Pages 381–421
8. “Aspasia” Wiki,org
9. “The Art of Persuasion: A History of Advertising Photography” Sobieszek, Robert A. 1988
10. “Aspasia” A Romance of Art and Love in Ancient Hellas” Mary J Safford German) Robert Hamerling (Translator) 1882. NY. W.S. Gottsberger, Publisher.
11. “Lejaren A. Hillier Photography Collection” University of Texas, Harry Ramson Center.