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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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The word [ramus] is Latin and means “branch”. The plural form for [ramus] is [rami]. This word is used to denote “branches” or “divisions” in anatomical structures such as:
• Dorsal and ventral rami: the posterior (dorsal) and anterior (ventral) branches or divisions of a spinal nerve.
• Rami communicantes: small nerve connections between the spinal nerve and the sympathetic chain. These tiny nerve branches are part of the autonomic nervous system. Some are present at all levels of the spinal cord (gray rami communicans) and some only at levels T1 through L2 (white rami communicans)
• Pubic rami: the superior and inferior lateral extensions of the pubic bone, which form the superior and inferior boundaries of the obturator foramen (see image)
Image property of:CAA.Inc.Artist:M. Zuptich
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The word [proptosis] is composed of the prefix [pro-] meaning “forward”, the root term [-pt-] from the Greek [πτώση] (ptosi) which meaning “to fall”, and the suffix [-osis] meaning “condition”. Literal interpretation of the term would be “condition of falling forward”. Sometimes [–ptosis] can be considered a suffix, meaning “to sag” or "to droop".
Proptosis is used in medical terminology to describe a forward bulging to the eyes, similar to exophthalmos. The only difference is that the term exophthalmos is usually reserved to forward displacement of the eye related to or secondary to endocrinological dysfunction. All other eye protrusions are referred to as [proptosis
Proptosis can be caused by trauma, localized inflammation of the orbital tissues not related to thyroid dysfunction, tumors, etc.
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The word [exophthalmos] is composed of the prefix [ex-] meaning “outer” or “outside”, the root term [-ophthalm-] which arises from the Greek word [οφθαλμός] (ophthalm?s) meaning “eye”, and the adjectival suffix [-os] meaning “pertaining to”. Literal interpretation of the term would be “pertaining to outside the eye”.
In reality the word [exophthalmos] is used to describe a condition where the eye is pushed anteriorly, protruding or bulging within the eye orbit. This condition can be unilateral or bilateral.
The term exophthalmos is usually reserved to forward displacement of the eye related to or secondary to endocrinological dysfunction. All other eye protrusions are referred to as [proptosis]. More on this word can be read on this article.
Thyroid dysfunction can lead to inflammation of the orbital tissues, including muscle and fatty tissues, causing edema and forward displacement of the eye.
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The root term [-ophthalm-] arises from the Greek word [οφθαλμός] (ophthalm?s) meaning “eye” or "optic". It is used in several medical terms such as:
- Ophthalmology: The suffix [-ology] means “to study”. The study of the eye
- Ophthalmologist: A health care professional who specialized in eye diseases
- Ophthalmic: The adjectival suffix [-ic] means “pertaining to” and can be seen in anatomical terms such as the ophthalmic artery
- Ophthalmitis: The suffix [-itis] means “inflammation” or “infection”.
- Ophthalmoscope: An instrument to view the eye
- Anophthalmia: The prefix [an-] means "without" or "absence of". A congenital condition where one or both eyes do not develop
- Exophthalmos: The prefix [ex-] means "outer" or "outside". A protrusion of the eyes
Image by Rhcastilhos [Public domain], via Wikimedia Commons.
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UPDATED: The root term [-mast-] arises from the Greek [μαστός] or [mastos] meaning "breast". A synonymous prefix is [mamm-] from the Latin [mamma], also meaning "breast". This prefix is used in medical terms such as:
- Mastectomy: The suffix [ectomy] means "removal of". Removal of the breast. This is an old operation, the first known records are from 180 A.D. The modern operation for radical mastectomy with careful removal of the related lymphatics was developed by William Halsted (1852 - 1922). The synonym [mammectomy] is correct, though rarely used. The word [masectomy] to refer to this procedure is incorrect and should not be used
- Mastoptosis: The suffix [-(o)ptosis] means "to fall", "to sag" or "go down". A falling or sagging of the breast. (Syn. mammoptosis)
- Mastoid: The suffix [oid] means "similar to". Similar to a breast or with the shape of a breast, such as the mastoid process, a bony prominence of the temporal bone. See accompanying image
- Mastoplasty: The suffix [-(o)plasty] is used to mean "surgical reshaping". Surgical reshaping of the breast. Better known as a mammoplasty
- Mastopexy: A type of mastoplasty. The suffix "opexy" is used to mean "surgical fixation". Surgical fixation of the breast. In a mastopexy, the breast is "fixed" higher to reduce the mastoptosis. (Syn. mammopexy)
There is an interesting evolution of this word. The above applies only when the term [-mast-] is used as a root term, and combined with other word components. From the Greek, this term was passed on to Latin and thence evolved with the German term [m?sten] meaning "to feed" or "to fatten". This is why we have [mast cells] in histology. These are a type of mononuclear leukocyte described by Paul Ehrlich (1814 - 1915) in 1879, who named them [maztellen], which in German means "a well-fed cell".
For images of mastoptosis and mastopexy, CLICK HERE. Warning: images depict nude bodies.
Sources:
1. "The Origin of Medical Terms" Skinner, HA 1970 Hafner Publishing Co.
2. "Dorland's Illustrated Medical Dictionary" 28th Ed. W.B. Saunders. 1994
3. "Medical Terminology; Exercises in Etymology" Dunmore CW, Fleischer RM 2nd Ed. 1985
4. "Medical Meanings; A Glossary of Word Origins" Haubrich, WS. Am Coll Phys 1997
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UPDATED: The term [fascia] means "band or bandage". It is derived from the Latin word [fascis] meaning "bundle", therefore a fascia is the bandage that ties a bundle. A bundle of sticks tied around an ax was the symbol of the lictors, the Roman imperial bodyguards. Many fasciae (Pl.) are eponymic, such as Camper's Fascia, Scarpa's fascia, Colle's fascia, etc.
In anatomy, the word [fascia] refers to a sheet of connective tissue. The term encompasses many types of fasciae (plural for fascia) which range from the thin deep or muscular fascia to the tendon-like thick fascia lata of the thigh. The image shows the anterior aspect of the thigh and its covering, the fascia lata. The opening shown in the fascia lata is the fossa ovalis of the thigh. Do not confuse with the fossa ovalis found in the interatrial wall of the heart. Click on the image for a larger depiction.
In the extremities, some fasciae may contain more than one muscle, creating fascial compartments. Trauma or vascular pathology in a fascial compartment may cause the muscles to swell to the point that the edema starts causing ischemia compromising the muscles to the point of necrosis. This is called "compartment syndrome" and may require a surgeon to cut open the fascia to relieve the pressure, a procedure called a "fasciotomy". For more information on [-otomy], click on this link.
Original images by Henry VanDyke Carter, MD and links courtesy ofbartleby.com







