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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 great cardiac vein is one of the longest veins of the coronary system of the heart. It arises close to the cardiac apex in the anterior interventricular sulcus and ascends parallel to the anterior interventricular artery (LAD). The great cardiac vein will end in the most proximal portion of the coronary sinus. At this point the coronary sinus presents with an “entrance” valve called the “coronary valve of Vieussens”
In some cases the great cardiac vein will anastomose with the middle cardiac vein creating a collateral circulation venous drainage system that includes the coronary sinus.
There are several anatomical variations of the great cardiac vein.
Sources:
1 "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
2. “The great cardiac vein” Peikovic, B. Surg Radiol Anat. 1992;14(1):23-8.
3. “Great cardiac vein variations” Bales, GS Clin Anat. 2004 Jul;17(5):436-43p>Source:
4. "Anatomy of the Human Body" Henry Gray 1918. Philadelphia: Lea & Febiger
Image modified by CAA, Inc. Original image courtesy of bartleby.com
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Medical suffix originating from the old Greek [πλήσσειν] (plessein) meaning “to strike” or the modern Greek [πληγείσες] meaning “stricken”. Its meaning in modern medical terminology is “paralysis”, the loss or impairment of bodily movement. This suffix can be seen in many medical terms:
- Quadriplegia: From the term [quad] meaning “four”. Loss of movement or paralysis in all four extremities
- Hemiplegia: From the prefix [hemi-] meaning “half”. Loss of movement or paralysis in one half of the body
- Paraplegia: The prefix [para-] means “alongside” or “parallel to”. Originally the word paraplegia was synonymous with [hemiplegia], but in modern times it is used to denote loss of movement or paralysis in the lower half of the body
- Cardioplegia: The root term [card] means “heart”. Stopping or paralyzing the heart. This is done as part of a heart operation where a solution is placed into the heart to stop it and allow for heart surgery. In the case of minimally invasive surgery retrograde cardioplegia is used by placing the cardioplegia solution through a catheter into the coronary sinus.
Note: The links to Google Translate include an icon that will allow you to hear the Greek or Latin pronunciation of the word.
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The septum pellucidum is a thin, transparent membrane that forms the medial wall of the lateral ventricles.
The term [septum] means “wall” or “partition” and [pellucidum] means “transparent”.
The septum pellucidum is found most of the time as a single, median structure that is shared by both lateral ventricles and is sometimes perforated, which has no pathological consequence.
In some cases this structure can be double, creating a separate medial wall for each lateral ventricle. When this happens the space between the lateral ventricles has been named the “cavum septi pellucidi”, the “fifth ventricle”, or is eponymically called the “ventricle of Vieussens”. This is shown in the accompanying image
Image modified from the original from “Surgical Anatomy” by John Deaver 1901. Public domain.
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The lateral ventricles of the brain are two separate cavities, each found within a cerebral hemisphere. The lateral ventricles are part of the ventricular system of the brain and contain cerebrospinal fluid which is produced within the ventricular system in the choroid plexuses, most of which are found in the lateral ventricles.
Each lateral ventricle communicates with the third ventricle by way of an interventricular foramen, also known as the foramen of Monro, allowing for circulation of the cerebrospinal fluid
Each lateral ventricle has four components:
1. The central component or “body”. This area is found superior to the thalamus and inferior to the corpus callosum
2. An anterior extension called the “frontal horn”. The boundary between the body and the frontal horn is the interventricular foramen of Monro
3. A posterior extension called the “occipital horn”
4. An anteroinferior extension called the “temporal horn”
The body of the lateral ventricle and the occipital and temporal horn meet at a common point called the “ventricular crossroad” or “isthmus”.
The accompanying animated image shows the lateral ventricles in red. Click on the image for a larger depiction
Sources:
1 "Tratado de Anatomia Humana" Testut et Latarjet 8 Ed. 1931 Salvat Editores, Spain
2. "Gray's Anatomy" 38th British Ed. Churchill Livingstone 1995.
3. Image credits: By Images are generated by Life Science Databases (LSDB). (License information))], public domain, via Wikimedia Commons
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The medical prefix [hemi-] means “half”. It is also the basis for the prefix [semi-] , also meaning “half”. We can see this term used in many medical terms such as:
- Hemisphere: literally “half a sphere”, as in the case of the cerebral hemispheres
- Hemiplegic: Paralized only on one half of the body
- Hemialgia: Pain on one half (of the body)
- Hemicephalalgia: Pain on one half of the head, a migraine
- Semilunar: Half a moon, name used for the aortic and pulmonary valves
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The eponym “ring of Vieussens” refers to a collateral circulation anastomotic communication between the right conal artery and the left conal artery. This communication, when present, is a potential life-saving pathway when there is stenosis or obstruction at the origin of either the right or the left coronary arteries, allowing blood to bypass the blockage.
This anastomosis is sometimes evident, although sometimes when the anastomosis is not seen on the surface of the heart, there is the possibility that the anastomosis is present subepicardially as demonstrated in the 2014 study by Loukas et al.
This ring is demonstrated in the accompanying image. For a three-dimensional volume–rendered CT demonstrating Vieussens’ collateral pathway please click here. For the full 2006 article by Hansen, click here.
Image property of CAA, Inc. Artist: Victoria Ratcliffe.






