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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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UPDATED: The term [cholangiogram] is composed by the combined root terms [-chole-] derived from the Greek word [χολή] (cholí) meaning "gall" or "bile, and the root term [-angi-], also derived from the Greek [αγγείο] (angeío), meaning "vase", or "vessel"letter. The suffix [-(o)gram] evolved from the Greek word [γράμμα] (grámma) , meaning "letter", although today we use it to mean "examination of". For more information on this suffix, click here. The term [cholangiogram] therefore means "examination of a bile vessel".
A cholangiogram is the fluoroscopic imaging of a bile duct. To do this a radio-opaque dye is introduced in the bile system and a series of X-ray images are taken of the hepatobiliary tree. Today the examination can be performed intraoperative in conjunction with a cholecystectomy using a C-arm fluoroscope
The accompanying video (without sound) shows an intraoperative normal cholangiogram.
Video courtesy of YouTube, Mr. Andrew Smith and the Yorkshire Gallstone Clinic.
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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.

Raymond de Vieussens
Raymond de Vieussens (c.1635 – 1715). French anatomist and physician. His exact date and place of birth are uncertain, some place him being born in the area of Le Vigan in France and the date for some authors as late as 1641.
What we do know is that he studied at the University of Montpellier where he graduated from his medical studies in 1670. He became a physician at the Hôtel Dieu Saint-Eloi in Montpellier. He later became head physician at the same hospital and apparently maintained this position for the rest of his life. His studies on the anatomy of the heart and lymphatic system were pioneers for the time, as were his studies on the anatomy of the nervous system.
Vieussens was a prolific writer. Among his works in 1706, he published “Nouvelles Découvertes sur le Coeur” (New Discoveries on the Heart) followed by “Traité Nouveau de la Structure et Des causes du Mouvement Naturel du Coeur” (New Treaties on the Structure and Cause of the Natural Movement of the Heart) in 1715. In these books he presented detailed anatomy of the lymphatic system and blood vessels of the heart, as well as his theories on the movement of the heart. In his work, he did the first accurate description of mitral stenosis and aortic disease.
One of his greatest works was “Neurographia Universalis”, published in 1684 in Lyons, France. In this book Vieussens describes the structure of the nervous system with emphasis on the pathways of the white substance, which we know today is formed by bundles of neuronal axons. He accurately described the internal structure of the cerebellum and other structures that today bear his name. Unfortunately Vieussens attempted to describe the physiology of the brain with little factual support, developing wild theories, including the statement that he had found the “fluid of the nerves”.
Some of Vieussens’ work was published posthumously by his family and colleagues. Today, many eponyms remember Vieussens’ name, here are some of them:
- Valve of Vieussens: A valve found at the distal end of the great cardiac vein, where it empties into the coronary sinus
- Ring of Vieussens: Name for and anatomical variation in the heart, an anastomotic communication between two conal arteries, one arising from the right coronary artery, the other arising from the left anterior descending artery (LAD)
- Centrum of Vieussens: A term that describes the mass of white matter at the center of each cerebral hemisphere
- Ring of Vieussens: Eponymic term for the limbus fossa ovalis, a raised muscular ring surrounding the fossa ovalis in the heart
- Valve of Vieussens: A thin veil of tissue between the superior cerebellar peduncles, forming part of the roof of the 4th ventricle. This is known as the superior medullary vellum and may have some sparse cerebellar tissue on it
- The ventricle of Vieussens: The name of a cavity found in the case where the septum pellucidum is double. The septum pellucidum is a membrane that separates the lateral ventricles of the brain in the midline
If you hover with your mouse over the image of young Vieussens you will see another image of Vieussens at 65.
Original images courtesy of National Library of Medicine.
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The suffix [-(o)rrhaphy] is derived from the Greek language and means "surgical repair". Initially, the meaning was that of "suturing" but nowadays surgical repair can be accomplished with sutures, staples, tacks, tissue glue, and other medical devices.
Some applications of this suffix are:
- Herniorrhaphy: Surgical repair of a hernia
- Enterorrhaphy: Surgical intestinal repair
- Aneurysmorrhaphy: Surgical repair of an aneurysm
- Gastrorraphy: Surgical repair of the stomach
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Latin term probably derived from [varus] meaning "bent or crooked". The term is used in medicine to denote a single dilation of a vein. The plural form of [varix] is [varices], the adjective [varicose] denotes an area affected by varices.
Peripheral varicose veins are usually caused by failure of the venous valves found in them.
Note that the dilation of a vein is called a varix, while the dilation of an artery is called an aneurysm.
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Anterior view of the stomach
This is a German word composed of [magen] meaning "stomach" and [strasse] meaning "road or street", therefore [magenstrasse] means "stomach road".
Most everybody that studies anatomy or gastrointestinal surgery knows that the stomach has several regions that include the fundus, body (corpus), antrum, pyloric canal , and pylorus. The anatomical term [magenstrasse] refers to a tubular and thicker area of the stomach close to the lesser curvature (see image).
This old anatomical German term has come back en vogue because of bariatric surgery. In a sleeve gastrectomy, the stomach is stapled and separated along the left lateral border of the magenstrasse, leaving only a tubular, less distensible portion of the stomach.
Here is an article from the "Journal of Biomechanics" on the physiological magenstrasse and gastric emptying. For a video of this procedure CLICK HERE
Video available on YouTube, published by Realize TM
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UPDATED: From the Greek [εὐφωνία] [eu-] meaning "good" and [phone/phonos] meaning "sound or voice". The term [euphonic] means "sounds good".
This is useful when combining root terms where the proximal to distal order of root terms does not apply. An example is the removal of the Fallopian tubes and ovaries. Since there is no true attachment, or flow of fluids between these structures, the words [salpingooophorectomy] and [oophorosalpingectomy] are both correct, but one of them is easier to pronounce and articulate, or euphonic, therefore that is the one we use: [salpingooophorectomy].
Note: Since the two root terms [-salping-] (Fallopian or uterine tube) and [-oophor-] (ovary) are connected with an [-o-] (meaning "and") per the rules used for combining root terms, the use of a hyphen to connect these terms is redundant and incorrect!


