
Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community. We post anatomical, medical or surgical terms, their meaning and usage, as well as biographical notes on anatomists, surgeons, and researchers through the ages. Be warned that some of the images used depict human anatomical specimens.
You are welcome to submit questions and suggestions using our "Contact Us" form. The information on this blog follows the terms on our "Privacy and Security Statement" and cannot be construed as medical guidance or instructions for treatment.
We have 744 guests online
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”.
Click here for more information
- Details
The word [lamella] is Latin and is the diminutive form of [lamina], which means "thin", or a "small plate". A lamella is a thin, wafer-like structure. The plural form is [lamellae]. The adjectival form [lamellar] refers to structures that resemble a stack of thin plates.
Many structures in the human body have a lamellar organization, such as compact bone, the pubic symphysis, and intervertebral discs. The accompanying image is a superior view of an intervertebral disc. Click on the image to see a larger depiction and the lamellar structure of the anulus fibrosus, the external component of the disc.
Image modified from the original from Testut and Latarjet, 1931
- Details
The pubic symphysis is a joint found between the pubic bones. It is composed by a layer of hyaline cartilage that covers the medial surface of each pubic bone (os pubis), and a fibrocartilaginous disc arranged in lamellae, somewhat akin to the structure of an intervertebral disc. It is classified as a fibrocartilaginous joint or a secondary cartilaginous joint. It generally presents with an internal midline cleft and is surrounded by strong ligaments. This joint has very little movement, limited to about one degree. The ligaments are:
• Superior pubic ligament: Found on the public crest, this ligament extends laterally as far as the pubic tubercles. It also serves as anchoring point for the tendons of the rectus abdominis muscles and the pyramidalis muscle.
• Inferior pubic ligament: Also known as the subpubic ligament this ligament forms an arch and attaches to the inferomedial aspect of the inferior pubic rami
• Anterior pubic ligament: Found anterior to the pubic symphysis, this ligament attaches to the periosteum of the anterior aspect of the body of the pubic bone
•Posterior pubic ligament: Found on the posterior aspect of the pubic bone, this ligament is the anterior boundary of the retropubic space of Retzius
Under the influence of hormones, the pubic symphysis becomes softer and more mobile in pregnant women. This is good for natural birth, but can be the cause of symphyseal pain in the later stages of pregnancy.
- Details
This medical word is formed by the prefix [-dys-] meaning “abnormal”, the root term [-kin-] meaning “movement”, and the suffix [-esia] meaning “condition” or “situation". Dyskinesia is “a condition of abnormal movement”.
Dyskinesia refers to a wide variety of involuntary movements that are either extraneous, or a fragmentation of normal movements of the face or limbs. The etiology for dyskinesia can be pharmacological, because of long-term use of antipsychotic medicine (tardive dyskinesia) or related to damage (trauma) or abnormal development of deep brain structures.
Dyskinetic movements are involuntary and classified as:
- Tremor: Small oscillating movements either at rest or during muscle activity, as in Parkinson’s disease
- Chorea: Irregular random and excessive movements
- Myoclonus: Rapid, fast and arrhythmic movements
- Tics: Brief and repetitive movements
- Dystonia: Postures that are involuntary and maintained for a brief time
Following are links to YouTube videos that show patients with different types of dyskinesia. These videos will open in a separate page
WARNING! These videos could be disturbing to some viewers. Videos courtesy of the JAMA Network.
Video 1: Demonstration of Kinesigenic Dyskinesia
Video 2: Choreathetotic Movement Attack in a Patient With Paroxysmal Nonkinesigenic Dyskinesia
Video 3: Orofacial Dyskinesia
- Details
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.

Adrian Van Der Spigelius
Adriaan Van Der Spigelius (1578 - 1625). Sometimes knows as Adrianus Spigelius, was a Flemish surgeon, anatomist, and botanist born in Brussels. Just as Vesalius, he studied at the University of Louvain, and later in Padua, Italy. Having settled as a professor of anatomy in Venice, in 1616 he was offered and accepted the Chair of Anatomy at Padua. His posthumous work "De Humani Corporis Fabrica Libri X" was published in 1627.
Spigelius described the caudate lobe of the liver and the "linea semilunaris", the lateral border of the rectus abdominis muscle. Today, a ventral hernia that occurs in the linea semilunaris is said to be an "Spigelian hernia".
His name is also associated with the Spigelian fascia, formed by the combined aponeuroses of the external oblique muscle, the internal oblique muscle and the transversus abdominis muscle.
If you hover over Spigelius' image, you will see an anatomical drawing depicting the linea semilunaris (arrow).
Original image courtesy of Wikipedia. Hover image property of:CAA.Inc.. Artist:D.M. Klein
- Details
The root term [-kin-] and its variation [-kine-] originate from the Greek word [κινέω] (kineo) and means "to move", or "place in motion". Applications of this root term include:
- Kinesiology: Study of movement
- Dyskinesia: Abnormal movement
- Kinetic: Pertaining to movement
- Kinesis: Movement
- Cytokinesis: Cell movement
- Kinesthesia: Sensation of movement, etc.
The root terms [-cine-] and [-cinemat-] are a variation of [-kine-] and also mean "movement". They are the basis of the word "cinematography" which means "process of writing or recording movement" in other words "moving pictures". The shortened version gives us [cinema]. Medical use of these root terms gives us:
- Cineangiography: Recording of vessels in movement
- Cineangiocardiography: Recording of the heart vessels in movement
- Coronary cineangiography: Pertaining to movement of the coronary vessels
- Details
The [pectineal ligament], also known as [Cooper's ligament) is a thickening of the periosteum that overlays the pectineal line of the pubis which is reinforced by fibers that extend from the inguinal ligament (Poupart's) and the lacunar ligament (Gimbernat's).
The medial boundary of the pectineal ligament is at the pubic tubercle, where the ligament is at its thickest. From here the pectineal ligament extends laterally as part of the pectineal line of the pubis. As it moves laterally the pectineal ligament thins slowly. There is no clear lateral boundary to the lateral aspect of the pectineal ligament.
This is important in the repair of inguinofemoral hernias though laparoscopic procedures. The pectineal ligament is one of the targets used to place staples or bone tacks to attach a mesh that reinforces the hernia repair.
Do not confuse this ligament with others with the same name found in the breast.
Image property of: CAA.Inc. Artist: Mark Zuptitch





