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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]
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 suffix originates from two Greek root terms [ectos], meaning "out or outside" and "[tomos], which means "to cut" or "to open". The final [-y] means "process". The suffix [-ectomy] means "process of cutting out". Other synonyms are: extirpation, excision, and removal.
Applications of this suffix include:
- Pneumonectomy: Removal of a lung
- Gastrectomy: Extirpation of the stomach
- Nephrectomy: Excision of a kidney
- Cholecystectomy: Extirpation of the gallbladder
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UPDATED: Latin word meaning "tail". The plural form is "caudae". The adjective use "caudal" or "caudad" means "towards the tail" or "inferior". Although not correct, in many anatomy books the term "caudal" is defined as "towards the feet", meaning that has become accepted through use. In reality this is a embryological term that can also be used in quadrupeds. The use of this term in the adult human is not correct, or at least should be avoided; unless you are truly going "towards the tail" i.e. coccyx
Applications of this word include:
- Cauda equina (the horse's tail): A structure formed by the inferior portion of the spinal cords and the corresponding ventral and dorsal roots, resembling a horse's tail.
- Caudate nucleus: One of the deep ganglia of the brain which has an elongated, curved extension resembling a tail
- Caudate lobe (of the liver): A small lobe of the liver that has a small projection resembling a tail, the caudate process.
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The term cauda equina is Latin. The word [cauda] means "tail", and the word [equina] means "horse". The horse's tail.
Since the spinal cord is shorter that the spinal canal, there is a discrepancy as to the origin of the dorsal and ventral roots and their corresponding intervertebral foramen, where they exit as a spinal nerve. The cauda equina is found inside the sacrolumbar portion of the spine's dural or thecal sac, inferior to the conus medullaris, and is formed by the filum terminale and the dorsal and ventral roots found inferior to the distal end of the canus medullaris.
If you click on the accompanying image you will see a larger version. Observe the resemblance of the grouping of these roots to a horse's tail. For an image from Gray's anatomy click here.
Image property of CAA.Inc. Photographer:D.M. Klein.
Link and linked image courtesy of Bartleby.com
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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.

Antoine Louis
Antoine Louis (1723- 1792). French surgeon, anatomist, and physiologist. Following his medical studies and a long career as a physiologist, Antoine Louis was named Permanent Secretary of the Royal French Academy of Surgery. His other titles were those of Professor of the Royal Academy, Consultant Surgeon of the Armies of the King, member of the Royal Society of Sciences of Montpellier, Inspector of the Royal Military Hospitals, and Doctor in Law of the University of Paris. As a member of these academies Louis was instrumental in the design and construction of the guillotine. Initially called the "Louisette", this device was later named after another French physician in the same committee, Dr. Joseph-Ignace Guillotin.
Antoine Louis' name is better know to history as the eponymic origin of the "sternal angle" also know as the "Angle of Louis" and synonymously (probably by misspelling or translation) the "angle of Lewis", and "angle of Ludwig". This anatomical landmark is extremely important as it serves as a superficial landmark for important anatomical occurrences (click here).
As a point of controversy, there are some that contest the history of this eponym adjudicating it to Pierre Charles Alexander Louis (1787-1872), another French physician dedicated to the study of tuberculosis.
Sources:
1. Srickland, N; Strickland A Angle of Louis, More Than Meets the Eye. MedTalks:
2. Ramana, R. K., Sanagala, T. and Lichtenberg, R. (2006), A New Angle on the Angle of Louis. Congestive Heart Failure, 12: 197–199
3. "The origin of Medical Terms" Skinner, HA; 1970
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Click for an animation of the
sella turcica
UPDATED: The words [sella turcica] are Latin and mean "Turkish chair". The sella turcica is a depression found in the superior aspect of the sphenoid bone and it does resemble one! The accompanying image is that of a Turkish chair made in wicker. (wickerbydesign.com). The Turkish chair resembles a horse saddle with high ends.
If you click on the image, you will see an animation of the sphenoid bone highlighting the sella turcica, where you will see the resemblance between the chair and the bone.
The hypophysis or pituitary gland, which dangles from the hypothalamus by a neural stalk, is found within the concavity of the sella turcica, surrounded by the optic tracts laterally and by the optic chiasm anteriorly.
The depression of the sella turcica is sometimes called the [pituitary fossa] or [fossa hypophyseos]. It is bound anteriorly and posteriorly by four bony processes, the (left and right) middle and posterior clinoid processes.
The pituitary fossa is closed by a tent-like structure made of dura mater which has a small opening that allows the hypophyseal stalk to pass trough. This is the diaphragma sellae.
Question: Do you know that there are four named diaphragms in the human body? See if you can name them!
Image of the Turkish chair courtesy of wickerbydesign.com.Secondary animated image byBodyParts3D, courtesy of Wikipedia.
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Hover for another image
This word has a Greek root [-sphen-] meaning "wedge", and the suffix [-oid] meaning "similar to" or "resembling". [Sphenoid] means "resembling a wedge" or "wedge-like".
The sphenoid bone (os sphenoidale) has been described as butterfly or bat-shaped, and is a complex bone situated as a wedge or keystone in the base of the skull. Hover over the image1 for a view of the location of this bone.
The sphenoid bone has a superior depression called the sella turcica, Latin for "turkish chair" where the hypophysis or pituitary gland is found.
On its inferior aspect the sphenoid bone presents with two thin wing-like plates called the lateral and medial pterygoid plates or lamina (see the area with the letter "H" in the accompanying image)

Image1 modified from "De Humani Corporis Fabrica" 1543 1st Ed.by Andreas Vesalius. Animation via Wikimedia Commons, public domain. Polygon data generated by Database Center for Life Science (DBCLS), CC BY-SA 2.1 JP.



