Medical History at UCSF: the Department of the History of Health Sciences, 1927-1998

The Archives and Special Collections contain both administrative and teaching files from the Department of the History of Health Sciences, especially between the years 1985-1998, before it became a Program in the interdisciplinary Department of Anthropology, History and Social Sciences. The unit was originally created in 1927, but became official on January 1, 1930 as Department of Medical History and Bibliography, supplied with a special seminar and rare book room in the new library. Fueled by the Oslerian cultural ideal, the medical classics were read and quoted since many educated physicians still could read Latin fluently. Chairing these seminars was Le Roy Crummer, a notable bibliophile and veteran collector of old books, together with Dean Langley Porter and professors Herbert Evans and Chauncey Leake. These activities were meant to convey to UC Regents that the campus provided a cultural environment that would preclude the removal of the Medical School to the Berkeley campus.

During the 1930s and 1940s, the Department flourished under the leadership of John B. de C. M. Saunders, a Professor of Anatomy and University Librarian. During these decades, its stewardship of archival materials and historical collections expanded, particularly with the acquisition of a collection of Oriental medicine titles. The name of the unit changed to History of Health Sciences in 1965 to accurately reflect the interests of the entire campus, and Dr. Saunders was appointed Regents Professor of Medical History, a post he occupied until his retirement in 1973. His long tenure featured the development of a graduate program of studies leading to an M.A. and Ph.D. degrees. His successor, Gert H. Brieger, then guided the Department from 1975 to 1984, when another change in name occurred to better illustrate its humanistic mission: History and Philosophy of Health Sciences.

Poster for the 1994 public lecture series at UCSF entitled “From House of Mercy to Biomedical Showcase: A Retrospective of Hospital Life.”

Poster for the 1994 public lecture series at UCSF entitled “From House of Mercy to Biomedical Showcase: A Retrospective of Hospital Life.”

My appointment in 1985 allowed a resumption of the graduate program and the development of new elective courses for medical students, all supported by a library and audiovisual collection. With bioethics rapidly becoming an independent field, the designation History of Health Sciences returned. By this time, moreover, medical history was no longer the medicine’s inspirational handmaiden of its early days, but a scholarly enterprise designed to carefully reconstruct the medical past within its scientific, social, political, economic and cultural contexts. Such an outward glance, however, was complemented with an inward look at medicine itself, particularly the emotional demands of becoming and being a healer and establishing relationships with patients.

To implement such goals, the Department sponsored a program of noon-hour illustrated lectures, delivered at the Parnassus campus and open to faculty, students and staff during the 1990s. Among the most prominent themes presented with the use of slides and films were a history of the Western hospital from antiquity to AIDS and another of alternative healing traditions. In my opinion at the time, the old-fashioned lecture format was still the best way to convey the complex and contingent panorama of medicine’s impact on society. For medical students, our elective tutorials were designed to allow a guided exploration of the process of becoming a physician—emotional and technical– with the help of historical examples.

During more than half a century of its existence, many scholars played prominent roles in the Department’s development. Among them were faculty, students, health professionals, visiting lecturers and guest speakers, as well as patrons and donors who provided resources for the unit to flourish, allowing it to remain at the forefront of similar academic medico-historical institutions in the country and the world.

Guenter B. Risse MD, PhD is a historian of health and medicine. He was the chair of the Department of the History of Health Sciences at UCSF in 1985–2001. He now is Professor Emeritus, Department of Anthropology, History and Social Medicine at UCSF. His most recent book “Plague, Fear and Politics in San Francisco’s Chinatown”  was published in 2012 by Johns Hopkins University Press; it depicts the work of UCSF faculty during the epidemic.

Nursing students in the 1920s: Clara & Vivian Edmonston

Clara Edmonston and Vivian Coats met as nursing students at UCSF in the 1920s. We have small collections from both women– MSS 2011-14 Vivian Coats (Edmonston) papers and MSS 2013-9 Clara Edmonston papers. The collections are full of insights into the lives of the two women in nursing school and as working nurses in the 1920s. Much of the collections is correspondence and documentation of their work, allowing the reader to hear Clara and Vivian’s voices and get to know them a bit.

Clara Edmonston, 1924.

Clara Edmonston, 1924.

Vivian Coats (Edmonston), 1923.

Vivian Coats (Edmonston), 1923.

 

 

 

 

 

 

 

 

 

I recently had the opportunity to chat with Dr. Frances Edmonston, daughter of Vivian and niece of Clara, and she elaborated on their stories. Clara and Vivian were friends in nursing school and Clara had the idea to introduce Vivian (nee Coats) to her brother, Charles Edmonston. The match was a success– Vivian and Charles later married. Vivian finished her BS in Nursing in 1923, Clara in 1924. Vivian later went on to graduate in 1927 with a certificate in Public Health Nursing and continued to work in public health-related nursing roles in the Bay Area.

Vivian took care to save items that she felt represented her nursing career. She saved notes, newspaper clippings, official forms, correspondence, reports, and other memorabilia.

img041

Vivian’s notes for making Poison Oak Lotion.

img042

Vivian’s notes on the incubation period of infectious diseases.

 

 

 

 

 

 

 

 

 

 

She worked in a number of nursing capacities to help underserved populations. In 1929 Vivian was employed by the Red Cross in Willows, CA  to provide Itinerant Nurse Service. Newspaper clippings collected by Vivian document the work that she accomplished and positive effect she had on the town.

In an April 30, 1929 report to the Red Cross on her work’s progress, Vivian wrote that “in the Willows Grammar School [she] examined 555 children and found 876 defects. These defects included faulty vision, carious teeth, throat abnormalities, skin eruptions, enlarged lymph nodes or glands in the necks, and those more than 10% underweight or 20% overweight.” Furthermore, she goes on to say that she “visited 19 rural schools examining a total of 392 children and found 837 abnormalities. Notice the greater number of defects in proportion to the number of children. If statistics are of any value as an indicator and guide, they surely point to the rural districts as needing prevention and correction of defects and health education.” A number of students were found to be in need of tonsillectomies and candidly she says, “I know many of the teachers will be relieved, next Fall, to see fewer mouth breathers and more nose breathers.”

Page 1 of newspaper clippings from Willows from February 16-May 1, 1929.

Page 1 of newspaper clippings from Willows from February 16-May 1, 1929.

Vivian is very clear about the services that must be improved in the schools and the communities to have a positive impact on the health of the residents. Her recommendations include follow-up home visits, new outhouses at schools, bacteriological examination of drinking water, and updated health and anatomy curriculum in schools.

During my conversation with Frances she called my attention to the work Vivian did with vaccinations, which serves to illuminate some of the larger public issues of the early 20th century. For one position Vivian was loaned a model T Ford and hired to investigate cases of diphtheria. In the event that the presence of the disease was confirmed, Vivian had to put a quarantine sign on door of the home. Other duties included vaccinating children for diphtheria and small pox in the San Leandro area– which, it seems, were controversial among the parents. Vivian saved many of the notes from parents concerning the vaccinations.

img044

Page 1 of a letter from a parent to the school teacher concerning vaccinations, circa 1934.

img046copy

Page 2 of the letter from a parent to the school teacher concerning vaccinations, circa 1934.

 

 

 

 

 

 

 

 

img045

A close-up of the portion of the letter discussing the diphtheria vaccination, circa 1934.

This History of Vaccines timeline provides a bit of context for Vivian’s work. Around 1922, many schools began requiring the students to be vaccinated for smallpox before they could attend. Similarly new diphtheria immunizations were introduced in the 1920s (and are credited with virtually wiping the disease out of the United States). Furthermore, it notes that in 1926 opposition to mandatory vaccinations was growing among the public. The same argument is echoing in many communities today.

img047copy

Page of parents requesting that their children not be vaccinated at school, 1933-1934.

Treating the plague in 1500

The Archives and Special Collections at UCSF Library maintains an extensive collection of rare books in many fields of health sciences. Due to their unique and often fragile nature, rare books are available for use only under supervision. One of the most interesting books in the collection is Liber pestilentialis de venenis epidemie, written in German by Hieronymus Brunschwig and published in Strassburg in 1500. This first edition book was acquired in October 1955 from a rare bookseller in New York City, for a mere $650.00. A transaction note in the book indicates it to be an excessively rare book, especially given its good and complete condition.

img0163

Hieronymus Brunschwig, Liber Pestilentialis de venenis epidemie,1500

This book is an example of incunabula – books printed between the 1450’s and January 1501, using metal type attributable to the transformative printer, Johann Gutenberg. You can note the black and angular gothic print, popular at the time. And as was the convention of the time, the parchment used was known as vellum made from calfskin that is bleached. The book includes 23 large woodcuts, and printed “pointed hand” nota marks in the margins. The book constitutes 40 leaves, or what we would call 80 pages today.

img0143

Hieronymus Brunschwig, Liber Pestilentialis de venenis epidemie,1500

This particular book is considered to be one of the most important documents of its time for the history of contagious diseases, in particular its devotion to means of avoiding and treating the plague.  While little is known about the author, army surgeon Hieronymus Brunschwig, he is known to have been a scholar in the field of surgery and credited for having taken advantage of the recently invented printing press to gain influence.  He is best known for his first book, Buch der Cirurgia, Hantwirckung der Wundartzny, which served as a guidebook for surgeons and those in training.  Also notable for its woodcuts and early specimens of medical illustration, this book draws extensively on Brunschwig’s own experience, and contains the first detailed accounts of gunshot wounds in medical literature.

For more information, please refer to these sources:

Dawn of Western Printing. (2004). Incunabulahttp://www.ndl.go.jp/incunabula/e/index.html

Tubbs, R. S., Bosmia, A. N., Mortazavi, M. M., Loukas, M., Shoja, M., & Gadol, A. A. C. (2012). Hieronymus Brunschwig (c. 1450–1513): his life and contributions to surgery. Child’s Nervous System, 28(4), 629-632.

Waife, S. O. (Ed). (1976). Notable medical books.  Lilly Research Laboratories.

 

Stone’s Synchrotron

This season’s issue of UCSF Magazine, Fall 2013, includes a story inspired by a photograph in our collection and features an audio clip from one of our oral histories.

Robert Stone with Synchrotron, circac 1956

Robert Stone with Synchrotron, circa 1956

This compelling photograph (which, despite appearances, is not a scene from a sci-fi movie) depicts Dr. Robert Stone with the machine he created, the 70MeV electron synchroton. The synchrotron was a type of particle accelerator used to treat cancer patients with radiation from 1956 to 1964. Stone’s work contributed greatly to the safe clinical use of radiation.

The article in UCSF Magazine goes on to elaborate on Stone’s impact here at UCSF and on the wider medical community. The online version of the article also highlights a clip of Stone’s oral history, OH 23, taken in 1964. Be sure to check it out to hear Stone’s story in his own words!

View the issue as an online flipbook, download a pdf, download the iTunes app, or download the Android app. “Robert Stone and the Synchrotron” appears on page 50 of the Fall 2013 issue.

You can read more about Stone’s role in the history of Radiation Oncology at UCSF from 1928-1962 here.

Digitized Audiovisual Treasures from UCSF Archives Accessible Online

Today we would like to officially inaugurate the UCSF Archives and Special Collections audiovisual collection on the Internet Archive.

UCSF has been participating in the California Audiovisual Preservation Program (CAVPP) since its inception in 2010. This innovative program that received funding from the California State Library, the National Endowment for the Humanities (NEH) and the Institute of Museum and Library Services (IMLS) partners with diverse archives, museums and libraries from around the state to provide “digitization and access services for historic California audiovisual recordings.” The goal of the project is to save the rapidly deteriorating California audiovisual heritage: the majority of the cultural institutions in the state have hundreds of recordings in obsolete formats and poor physical condition.
The program selects the recordings based on the following criteria:

• statewide and/or local historical significance – (ideally) featuring widely known names and events
• risk of loss due to physical condition and format obsolescence
• never published commercially– must be primary source material
• intellectual property in the public domain, held by the owning library, or secured from the rights holder, when possible

CAVPP pays for digitization of materials according to best practices and standards, copies of digital files, management of metadata, and provides public access via the California Light and Sound online collection on the Internet Archive.

1964 School of Medicine centennial program

1964 School of Medicine centennial program

The UCSF collection includes 20 recordings with 11 more currently being digitized. Please take some time to browse these films and audio recordings documenting the development and growth of UCSF. In the next few months we will be showcasing individual items and today we would like to highlight a tape made at the centennial celebration of the School of Medicine on November 20, 1964:

[iframe src=”https://archive.org/embed/cum_000012″ width=”500″ height=”30″ frameborder=”0″ webkitallowfullscreen=”true” mozallowfullscreen=”true” allowfullscreen]

This tape contains almost 4 hours of recordings including addresses and presentations by William O. Reinhardt, Dean, School of Medicine; John B. de C. M. Saunders, Chancellor; Herbert Evans; H. Glenn Bell; William Kerr; Chauncey D. Leake; Peter Forsham; J. Englebert Dunphy; Alexander R. Margulis; Ernest W. Page; Harvey M. Patt; Seymor M. Farber; Henry S. Mass; Samuel Sherman; Alexander Simon; Lloyd H. Smith. To view the centennial program that included photographs by Ansel Adams please click here.

Here is a short excerpt from William O. Reinhardt, M.D. welcome introduction:

“…What are the functions of a school of medicine? The three basic essentials must be teaching, research and community service. The neglect of any one of these spells potential failure of its role. Indeed, the more that these three phases can be melded together, the greater the accomplishment of the institution will be.
Looking back with pride we see new potentials for the future. Therefore, the Centennial Committee has planned a program in which distinguished members of the faculty will survey the past and attempt to project the necessary directions of the future.
But for its greatest usefulness a school of medicine must offer more than narrow disciplines. It must turn our leaders in the community, thoughtful individuals well versed in many fields beyond the confines of the profession itself. Therefore, the celebration of the Centennial closes with a reconsideration of the role of the humanities in the education and profession of the physician.”

Florence Nightingale Letter

To commemorate Veterans’ Day, we bring you a letter from our collections written by Florence Nightingale in 1855 to the family of a solider who passed away in Scutari (now Üsküdar in Istanbul) during the Crimean War.  Accompanying the letter is a document that appraises the Nightingale letter and provides a bit more back story written by a rare book dealer, J. W. Todd, Jr. in 1975.

MSS 2011-20, Letter from J. W. Todd, Jr., 28 January 1975

MSS 2011-20, Letter from J. W. Todd, Jr., 28 January 1975

The Florence Nightingale letter was donated to the archives by Zina Mirsky RN, EdD in 2012.  One of her former students, Darlene Anderson had given her this letter. Early in her career, Mirsky served on active duty as a Navy Nurse and later spent over 40 years at UCSF.

MSS 2011-20, Letter from Florence Nightingale to John Dancey, 22 September 1855

MSS 2011-20, Letter from Florence Nightingale to John Dancey, page 1, 22 September 1855

MSS 2011-20, Letter from Florence Nightingale to John Dancey, pages 2-3, 22 September 1855

MSS 2011-20, Letter from Florence Nightingale to John Dancey, pages 2-3, 22 September 1855

MSS 2011-20, Letter from Florence Nightingale to John Dancey, page 4, 22 September 1855

MSS 2011-20, Letter from Florence Nightingale to John Dancey, page 4, 22 September 1855

UCSF Cornerstone, 1897

This somewhat rusty, old, copper box is a significant piece of UCSF history. It’s the cornerstone of the first medical school building on the UCSF Parnassus campus.

UCSF Cornerstone, 1897

UCSF Cornerstone, 1897

The “Old Medical School Building,” see photographs here and here, was completed in 1898 and torn down in the spring of 1967. The building was originally erected to both provide more room for and consolidate the dispersed campus of the Affiliated Colleges onto Parnassus Avenue. (Briefly, the Affiliated Colleges were part of the University of California and refer to the Schools of Pharmacy, Medicine, and Dentistry– later known as UCSF.) This new site, overlooking Golden Gate Park where the Parnassus campus of UCSF still is today, was donated by the mayor of San Francisco, Alfred Sutro, in 1895.

The cornerstone of the medical school, laid on March 27, 1897, was comprised of a copper box which functioned as a time capsule.  The box was unearthed and cut open in March of 1967 when the building was torn down. Inside the box were well preserved San Francisco newspapers, a copy of the site deed donated by Adolph Sutro, photos of the Affiliated College Buildings, and University announcements of the establishment of the schools of medicine, pharmacy, dentistry, and law.

The Evening Post, March 26, 1897

The Evening Post, March 26, 1897

Continue reading

Rotating Art Program and Portraits in the Reading Room

Here at the Archives & Special Collections we have, in addition to papers, books, and artifacts, a collection of works of art. This collection is widely unknown on campus due to our limited ability to showcase the pieces. However, this anonymity will come to an end with our new rotating art program. Through this initiative, we will be displaying different pieces of art on the walls of our reading room and changing them approximately every three months.

The inaugural works are two portraits of people significant to UCSF’s history– John Bertrand deCusance Morant Saunders, M.D. and William John Kerr, M.D.

William John Kerr, M.D. Alfred Jonniaux (Belgian, 1882-1974) 1949

William John Kerr, M.D.
Alfred Jonniaux (Belgian, 1882-1974)
1949

Continue reading

Robert L. Day Collection: Anatomy of an Archival Project – Part 3

Conservation treatment of a portrait of William M. Searby

William Martin Searby (1835-1909) was an important figure in the founding of the California College of Pharmacy (later UCSF School of Pharmacy). In addition to being the school’s first professor of Materia Medica, and later professor of pharmacy, he was also dean of the college for many of the school’s early years.

William Martin Searby (1835-1909), crayon enlargement. Portrait before treatment.

William Martin Searby (1835-1909), crayon enlargement. Portrait before treatment.

A portrait of Professor Searby in the UCSF archives, taken perhaps in the 1880s, was found in disrepair. The portrait was done in a format known as a crayon enlargement, which is a photographic image enlarged onto paper and enhanced by painting over in various media including airbrush, watercolor, or charcoal. Crayon enlargements were introduced in the late 1850s with the introduction of the solar enlarger—a means for enlarging negatives using the sun. They continued to be popular into the early 20th century and can be found on the walls of your local antique shop, often in large numbers. They can be oval shaped and mounted onto convex boards and placed in oval frames, or like the Searby portrait they can be lined with fabric and then mounted onto a wooden strainer. The Searby portrait had a silver-based photographic image as its base and was worked over primarily with charcoal. It was still housed in its original 5” Florentine gilded frame, but the portrait had suffered over time due to light exposure, variations in relative humidity, a poor-quality paper support, and the wooden strainer. These led to losses, yellowing of the image, embrittlement of the paper, and large tears.

Searby portrait before and during treatment.

Searby portrait during treatment.

The portrait was brought to the photograph conservators at Gawain Weaver Art Conservation in San Anselmo, CA. The first step was to unframe the portrait and cut it away from the wooden strainer and then remove its fabric lining. The loose areas of the lining fabric were cut away with a surgical scalpel. However, the lining fabric was strongly adhered to the fragile print along the edges with a very stubborn adhesive. An enzyme poultice was used to weaken the starch component of the adhesive, but it was still very difficult to remove and had to be slowly mechanically separated after softening with enzymes. The print was then free from its support but the paper was still very brittle, yellowed, and in multiple pieces. The next step was to wash the paper to remove degradation products and restore some flexibility to the print and to light bleach the print to remove the overall yellowing and discoloration.

Light bleaching uses the free radicals generated by light interacting with water molecules to gently remove staining and discoloration in a print while it is being washed. Light bleaching was developed in Marin County by pioneering paper conservator Keiko Keyes in the early 1980s and since that time has been widely adopted by both paper and photograph conservators.

The pieces of the print were placed on a support and washed and light bleached until the discoloration was sufficiently removed and some flexibility had been restored. The fragile print needed mending and physical support, so these were accomplished together by lining the print with a thin and strong sheet of Japanese paper attached with wheat starch paste, the most stable and commonly used adhesive in the conservation of photographs and works on paper. The mended cracks and remaining losses were then filled and retouched to make them all but invisible to the viewer.

William Martin Searby (1835-1909),crayon enlargement.Portrait before treatment.

Searby portrait after treatment.

The original aesthetic of the portrait was perfectly flat. To achieve that flatness and to provide further physical support, the newly lined print was mounted overall to a sheet of 4-ply rag museum board. The glass was replaced with UV-filtering acrylic to eliminate the danger of breaking glass and provide protection from ultraviolet light. The old nails keeping the two parts of the frame together were dangerous and often very loose, so they were removed and the frame and print were assembled more securely to be put on display for the first time in many years outside the UCSF archives.

Gawain Weaver
Photograph Conservator
Gawain Weaver Art Conservation
http://gawainweaver.com/

Robert L. Day Collection: Anatomy of an Archival Project – Part 2

A Processing Prescription for School of Pharmacy History

Have you visited the 5th floor of the UCSF Library lately? If so, you might have seen the latest UCSF Archives and Special Collections exhibit featuring items from the new Robert L. Day Collection. With photographs, scrapbooks, letters, books, and dozens of curious artifacts, the collection illustrates School of Pharmacy history from 1872 to the present day.

When School of Pharmacy Associate Dean Robert Day retired after a distinguished 50-year career at UCSF, his office was bursting at the seams with historical items he had collected. From 19th-century faculty meeting minutes to recent academic plans and reports, from the School’s 1873 Inaugural Address to the research that pioneered the Clinical Pharmacy Program in 1966, his collection tells the story of more than a century of education and innovation in pharmacy practice at UCSF.

Show globes containing colored liquid were displayed in shop windows to identify the business as a pharmacy or drug store. This show globe belonged to Otto A. Weihe (1896-1961), an alumnus and instructor of the California College of Pharmacy. It contains the original colored liquid used by Weihe family when the globe was  installed in the Modesto, CA pharmacy in 1911.

Show globes containing colored liquid were displayed in shop windows to identify the business as a pharmacy or drug store. This show globe belonged to Otto A. Weihe (1896-1961), an alumnus and instructor of the California College of Pharmacy. It contains the original colored liquid used by Weihe family when the globe was installed in the Modesto, CA pharmacy in 1911. Robert L. Day Collection, MSS 2011-23, UCSF Archives & Special Collections.

In addition to papers and photographs, Professor Day gathered enormous pharmacy ledgers containing prescriptions from the 1930s and 1940s, reels of 16mm film and audio tapes, and curious artifacts like a liquid-filled glass show globe. He generously donated these materials to the UCSF Library in 2012.

I joined the Archives and Special Collections staff from November 2012-May 2013 as a Project Archivist to process the Day collection and to prepare it for research and exhibit use. It was fascinating to peruse items like 19th-century textbooks from “Materia Medica” courses and to examine boxes of patent medicines for ailments like “dyspepsia” and “pleurisy.” I cataloged leather-bound volumes of faculty meeting minutes and reviewed letters from dozens of alumni recounting colorful stories of their early-twentieth-century student days and later careers. (A complete collection description and research guide is available on the Online Archive of California.) Continue reading