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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
"Clinical Anatomy Associates, Inc., and the contributors of "Medical Terminology Daily" wish to thank all individuals who donate their bodies and tissues for the advancement of education and research”.
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The term [ductus arteriosus] is Latin and means “arterial duct”. The ductus arteriosus a component of fetal circulation and is a communication between the left pulmonary artery, close to its origin from the pulmonary trunk, and the inferior aspect of the aortic arch. This structure is also called the “duct of Botallus”.
The fetus oxygenates its blood using the placenta; therefore it does not need to use its lungs. The fetal blood is diverted from the right atrium to the left atrium through the foramen ovale. Still, some blood will pass from the right atrium to the right ventricle and then through the pulmonary valve into the pulmonary trunk. The ductus arteriosus will divert most of this blood, so that instead of going into the lungs, the blood will go into the aortic arch and then to the systemic circulation.
Once the baby is born, this right to left shunt is not needed and the foramen ovale will close immediately after birth, while the ductus arteriosus will slowly reduce its diameter to be completely closed in a few days. If this closure does not happen, the condition will be referred to as a “patent ductus arteriosus” or PDA.
Once the ductus arteriosus is close it is referred to as the “ligamentum arteriosus” or the “ligament of Botallus”, named after Leonardo Botallus (c.1530-????)
Sources:
1. "Gray's Anatomy"38th British Ed. Churchill Livingstone 1995
2. "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
Image by BrownCow. [Public domain], from Wikimedia Commons
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The [prostatic sinuses] (sinus prostaticus) are bilateral depressions found lateral to the inferior portion of the median urethral crest (also known as the verumontanum). There are two prostatic sinuses within the prostatic urethra in the male
On the floor of these sinuses there are several perforations, representing the exit of the prostatic ducts (or ductules). These ducts bring prostatic fluid from the lateral lobes of the prostate into the urethra.
The image also shows the [prostatic utricle], also known as "utriculus prostaticus" or "utriculus", a small 6mm small dead-end channel found in the male prostatic urethra. The blue dotted line shows the cut edge of the urethra.
The word [utriculus] is Latin and means "little sac" or "little uterus".
Sources:
1. "The prostatic utricle is not a M?llerian duct remnant: immunohistochemical evidence for a distinct urogenital sinus origin" Shapiro E, Huang H, McFadden DE, et al. (2004) J Urol 172; 1753–1756
2. "Gray's Anatomy"38th British Ed. Churchill Livingstone 1995
3. "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
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The suffix[-ceps] has a Latin origin from the word [caput], meaning "head" or "leader". This word evolved into [-capit-] as in [decapitation], [-capt-] as in [captain], and of course, [-ceps], meaning "head".
This suffix is used in many anatomical and medical terms such as:
• Biceps: Two heads. Both the biceps brachii muscle and the biceps femoris muscle have two muscular heads or components
• Triceps: Three heads. The triceps brachii muscle has three muscular heads or components. There is no triceps femoris in the human.
• Quadriceps: Four heads. The quadriceps femoris muscle has four muscular heads or components
An interesting side note is that the Latin word [caput] evolved through the ages as it was incorporated into other languages. In French it evolved into [chef] as the "head" or "leader" of a group of cooks, and then back to English as [chief].
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Count Dracula, Mrs. Dracula, vampires, blood whisperers, etc. These are some of the nicknames given to these professionals who draw blood at medical offices, laboratories and hospitals.
The root term [-phleb-] derives from the Greek [φλέβα] (phleba) meaning "vein", and the suffix [-otomist] has two components. First [-otom-], from the Greek [τομή] (tomi) meaning "to cut" or "to open" and [-ist] from the Latin [-ista] meaning "he/she who makes or does". The medical term [phlebotomist] means "he/she who opens veins", a perfect description for these professionals.
For centuries a standard practice in medicine was to "bleed" a patient, by opening a vein under controlled conditions and letting some blood flow. The practice was known as "bloodletting" or phlebotomy, not in use today.
It is said that excessive bloodletting contributed to the death of George Washington, having removed 5 pints of blood in one day!. Today the professionals who draw blood are called "phlebotomists"
The image shows a phlebotomist at work using the Vacutainer system for drawing blood
Image by Richardelainechambers (Own work) [Public domain], via Wikimedia Commons
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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.
Martin Naboth (1675 – 1721). Not much is known about this German physician and anatomist. He was born in 1675 in Calau, a town in Southern Brandenburg, Germany. He studied medicine at the University in Leipzig, receiving his doctorate in Philosophy in 1701 and his MD in 1703. Although his interests were based in chemistry, Naboth became an avid anatomist, with interest in the anatomy of the female reproductive system.
His main publication in 1707 was “De Sterilitate Mulierum” (On Sterility in Women). In this book he refers to small pearl-like transparent structures found in the uterine cervix. Believing that he had discovered the way women store eggs, he called these “ovarium novum” (new ovaries). His discovery was accepted by many and these structures came to be known as “Ovula Nabothii “. Only later were to understand these structures as cysts created by clogging of the opening of the glands found around the uterine cervix. These mucus-producing glands are known as the [cervical glands] and also as Nabothian glands. These cysts, which are common and do not represent a sign of cervical cancer, are known today as Nabothian cysts.
Naboth had only rediscovered these cysts first described in 1681 by Guillaume des Noues (1650 – 1735), although the eponym records Naboth’s name.
Naboth published De Organo Auditus in 1703, and was appointed Professor of Chemistry in Leipzig in 1707. He died in Leipzig on May 23, 1721 leaving a large anatomical collection. We have not been able to find an image of Naboth, so we are depicting the title page of his 1707 “De Sterilitate Mulierum”. If you click on the image you can see a larger depiction.
Sources
1. “Histoire de la Mèdecine, depuis son origine jusqu'au dix-neuvime siècle” A. J. L. Jourdan ; E. F. M. Bosquillon 1815
2. DESNOUES, G. Rariora quadam observata in genitalibus mulierum. Zodiacus Medico-GaUicus, sive Miscellaneorum Medico-Physicorum Gallicorum. Annus
Tertius, Geneva. Leonard Chouet. (Feb. 1681) 1682, pp. 20-21.
3. “The Origin of Medical Terms” Skinner HA 1970 Hafner Publishing Co.
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You should try to answer this question before reading this article (or looking at your hand) .
In superficial or surface anatomy the hand is the distal component of the superior extremity. Since anatomy is studied with the specimen in the anatomical position, the hand has an anterior (volar) surface represented by the palm and a posterior (dorsal) surface.
Each hand has a thumb and four (not five) fingers. Why does the thumb have a different name? Because it is different. Look at your hand and you will see that the thumb has only two joints while the fingers have three joints, counting the metacarpophalangeal joint at the base of the fingers and the thumb.
Based on the above, it is wrong to say that you have five fingers in each hand. You have five digits in each hand and they are counted from the lateral aspect, so the thumb is your first digit and the most medial and shortest of the digits is the fifth digit, please do not call it “pinky”. Click here to see interesting anatomical trivia regarding the fifth digit.
It is important to call the components and regions of the body appropriately. And more interestingly (you can look at you hand now), it is fun to know that contrary to popular belief, you do not have a “middle finger”.
Take your time thinking about that one!
Images in the public domain, modified from the original, own work, by Evan-Amos



![Four chamber section of the heart Four chamber section of the heart. By BrownCow. [Public domain], from Wikimedia Commons](/images/MTD/SmallImages/ductus_arteriosus_sm.jpg)

![Phlebotomist at work. Phlebotomist at work. By Richardelainechambers (Own work) [Public domain], via Wikimedia Commons](/images/MTD/SmallImages/phlebotomist_sm.jpg)

