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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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Wormian bones are small flat bones found within the suture joints of the cranium. They are also known as "intrasutural bones" (see image). These bones will vary in number and in size per individual, and are not rare to find.
These bones are eponymic, named after Olao Claus Worm Sr. (1588 - 1654), a Danish professor of Medicine and Physiology. Known by his Latinized name Olaus Wormius, he described the embryology of these bones. The eponym was created by his nephew Thomas Bartholin (1616 - 1680).
An interesting variation of a Wormian bone is the [Inca bone] also known as the Os Incae. This is an interparietal bone which can present many variations, its importance being that it can be misdiagnosed as a skull fracture, specially in children.
Sources:
1. "Interparietal bone: a case report"Mirsa, BD. J Anat Soc India (1960) 9; 39.
2. "Variations of the interparietal bone in man" Pal,GP J Anat (1987)152; 205-208.
3. "Radiological case of the month" Parente, K et al Arch Ped Adolesc Med (2001) 155;731-732
4. "The Origin of Medical Terms" Skinner, HA 1970 Hafner Publishing Co.
Article image in public domain, modified from Toldt's "Atlas of Human Anatomy", 1903
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Today, instead of writing an article for this blog I prepared and delivered a lecture on "Surgical Sutures, Needles, and Knots" which included a short hands-on lab on knots and wound closure on simulated tissue.
This was presented at the request of the Pre-Health club of the College of Mount Saint Joseph in Cincinnati, OH. I am always glad to be invited to do these presentations as they allow me to maintain contact with the future generation of Health Care Professionals.
Of course this is a very short presentation compared to the longer course that Clinical Anatomy Associates, Inc. delivers for medical companies, but it shows these future professionals the complexity of the world of wound closure, healing, surgical sutures, needles, and knots.
We ended the lab with the challenge to do a two-layer closure of a simulated wound. Most of the attendees did a pretty good job. Congratulations!
My personal thanks to Dr. Eric Johnson who coordinated the meeting, and to the Pre-Health Club for their invitation. For more pictures of the meeting, see the Facebook album page of "Medical Terminology Daily"
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The root term [-rachi-] comes from the Greek word [?άχις] (rhakhis) and means "a spine" or "a ridge". It is used to denote the spinal or vertebral column. This root term is used in many sciences such as botany, zoology, comparative anatomy, etc. Some of these uses can be read here.
The plural for is rachides. Examples of its use in human anatomy and pathology are:
• Rachitic: An individual with spine pathology. A patient with cachexia so severe that the spine is clearly seen
• Rachischisis: A congenital separation or cleft usually found in the lower portion of the spinal colum
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The suffix [-schisis-] comes from the Greek word [σχίσις] and means "to tear" or "to separate". In Medicine today its meaning is that of "a cleft", a "split", or "a separation".
Examples of its use are:
- Palatoschisis: A cleft or separation of the palate, also known as uranoschisis
- Cheilognathopalatoschisis: This word combines several roots: [-cheil-], meaning "lip", [-gnath-] meaning "jaw", [-palat-], meaning "palate", while the suffix [-schisis] means "to split". A split or separation of the lip, jaw, and the hard and soft palate.
- Cranioschisis: A congenital cleft in the cranium
- Rachischisis: A congenital separation or cleft usually found in the lower portion of the spinal column
- Gastroschisis: A congenital condition where the abdominal wall does not complete its normal closure and the baby is born with an incomplete abdominal wall allowing for the extrusion of abdominal viscera usually in a right paraumbilical position
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The pelvic brim is an oval-shaped bony ridge in the pelvis formed by components of the sacrum, ilium, pubic bone, and symphysis pubis.
Also known as the "linea terminalis" the pelvic brim is formed from posterior to anterior by:
• Sacral promontory: An anterior ledge formed by a protrusion caused by the anular epiphysis of the first sacral vertebra
• Arcuate line: A medial border in the iliac bone. The anterior edge of the arcuate line where it continues with the pectineal line of the pubis is not clear
• Pectineal line of the pubis: A sharp posteromedial bony ledge in the superior aspect of the superior pubic ramus
• Pubic tubercle: A small bony protrusion in the superior aspect of the pubic bone
• Pubic crest: The superior aspect of the body (corpus) of the pubic bone, site of attachment for the rectus abdominis and pyramidalis muscles
• Pubic symphysis: The superior aspect of the pubic symphysis and related ligaments
The pelvic brim serves as an anatomical landmark that separates the abdminopelvic cavity into its two components: Superior to the pelvic brim is the abdominal cavity and inferior to it is the pelvic cavity. The gender differences in the shape of the pelvic brim as well as its measurements and dimensions will be covered in a separate article.
Images modified from the original courtesy of Wikipedia
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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.

Ambroise Pare
Ambroise Paré (1510 - 1590) was a French barber-surgeon. He studied at the Hótel-Dieu, a hospital in Paris. In 1537 he started work as an army surgeon. At the time, the general belief was that gunshot wounds were poisoned by the gunpowder, so the standard procedure was to cauterize bleeding vessels with red hot irons and then burn the open wound with boiling oil. During a battle in Turin he ran out of oil, and in despair, tried to ease the pain and suffering of the soldiers that could not be treated "appropriately" by using the only elements available to him at the moment: a paste made with rose oil, turpentine, and egg yolks.
To his surprise, the soldiers thus treated recuperated faster and with less pain. Paré decided to treat his patients more humanely, and try to reduce pain as much as possible in this pre-anesthesia world. He started using ligatures instead of cautery, and soothing salves and pastes with clean bandages to promote healing.
Paré published several books and is considered by many the first modern surgeon.
Image courtesy of the US National Library of Medicine




