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Medical Terminology Daily (MTD) is a blog sponsored by Clinical Anatomy Associates, Inc. as a service to the medical community, medical students, and the medical industry. 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.

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A Moment in History

Self-portrait, Henry Vandyke Carter, MD (Public Domain)
Self-portrait, Henry Vandyke Carter, MD (Public Domain)

Henry Vandyke Carter, MD
(1831 – 1897)

English physician, surgeon, medical artist, and a pioneer in leprosy and mycetoma studies.  HV Carter was born in Yorkshire in 1831. He was the son of Henry Barlow Carter, a well-known artist and it is possible that he honed his natural talents with his father. His mother picked his middle name after a famous painter, Anthony Van Dyck. This is probably why his name is sometimes shown as Henry Van Dyke Carter, although the most common presentation of his middle name is Vandyke.

Having problems to finance his medical studies, HV Carter trained as an apothecary and later as an anatomical demonstrator at St. George’s Hospital in London, where he met Henry Gray (1872-1861), who was at the time the anatomical lecturer. Having seen the quality of HV Carter’s drawings, Henry Gray teamed with him to produce one of the most popular and longer-lived anatomy books in history: “Gray’s Anatomy”, which was first published in late 1857.  The book itself, about which many papers have been written, was immediately accepted and praised because of the clarity of the text as well as the incredible drawings of Henry Vandyke Carter.

While working on the book’s drawings, HV Carter continued his studies and received his MD in 1856.

In spite of initially being offered a co-authorship of the book, Dr. Carter was relegated to the position of illustrator by Henry Gray and never saw the royalties that the book could have generated for him. For all his work and dedication, Dr. Carter only received a one-time payment of 150 pounds. Dr.  Carter never worked again with Gray, who died of smallpox only a few years later.

Frustrated, Dr. Carter took the exams for the India Medical Service.  In 1858 he joined as an Assistant Surgeon and later became a professor of anatomy and physiology. Even later he served as a Civil Surgeon. During his tenure with the India Medical Service he attained the ranks of Surgeon, Surgeon-Major, Surgeon-Lieutenant-Colonel, and Brigade-Surgeon.

Dr. Carter dedicated the rest of his life to the study of leprosy, and other ailments typical of India at that time. He held several important offices, including that of Dean of the Medical School of the University of Bombay. In 1890, after his retirement, he was appointed Honorary Physician to the Queen.

Dr. Henry Vandyke Carter died of tuberculosis in 1897.

Personal note: Had history been different, this famous book would have been called “Gray and Carter’s Anatomy” and Dr. Carter never gone to India. His legacy is still seen in the images of the thousands of copies of “Gray’s Anatomy” throughout the world and the many reproductions of his work available on the Internet. We are proud to use some of his images in this blog. The image accompanying this article is a self-portrait of Dr. Carter. Click on the image for a larger depiction. Dr. Miranda

Sources:
1. “Obituary: Henry Vandyke Carter” Br Med J (1897);1:1256-7
2. “The Anatomist: A True Story of ‘Gray’s Anatomy” Hayes W. (2007) USA: Ballantine
3. “A Glimpse of Our Past: Henry Gray’s Anatomy” Pearce, JMS. J Clin Anat (2009) 22:291–295
4. “Henry Gray and Henry Vandyke Carter: Creators of a famous textbook” Roberts S. J Med Biogr (2000) 8:206–212.
5. “Henry Vandyke Carter and his meritorious works in India” Tappa, DM et al. Indian J Dermatol Venereol Leprol (2011) 77:101-3


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Vesalius' Annotated Fabrica

Everybody has the hope of someday finding a treasure, and we look for it in garage sales, antique shops, anywhere and everywhere. As a book collector, I live for the day when I find a precious book that has been overlooked and that I can add to my collection. This is the story of such a find by a book collector.

No one knows exactly how many copies were printed of Andrea Vesalius' magnificent book “De Humani Corporis Fabrica, Libri Septem”. It is estimated that each run of the first (1543) and second (1555) editions were between 600 -1000 copies, maybe less.  The censuses on the surviving copies of this book published by S. Joffe, MD and V. Buchanan in 2015 tell us that less than 60 copies of each of these books exist in the USA, and the total worldwide number is unknown. Most of the books available today are in rare book repositories at university libraries, and only a few are available to private book collectors.

Image of the Annotated Fabrica 

The price for a good copy today is close to half a million US dollars, although some copies can be found for less. To see some prices, click here; you will be surprised.

In 2007, Vancouver pathologist and book collector Dr. Gerard Vogrincic bought a Fabrica at auction in Germany. This was not the best copy of the Fabrica. The index (an important part of the book, as it was the first anatomy book to ever have one) was missing, but most important, the book text was heavily underlined; some paragraphs were crossed out with ink, and over one thousand annotations were found on the sided of the pages, as well as in the images, a critical part of this book and the reason for its fame. As a result, the price at the auction was not too high.

A careful revision of the handwritten notes led Dr. Vogrincic to believe that the notes may have been written by Vesalius himself, but he had no idea of how to confirm it and he could not read Latin, the language of the annotations. There are only a few examples of Vesalius’ handwriting, as Vesalius burned many of his notes and letters, and only some survived. Dr. Vogrincic obtained a facsimile of one of Vesalius’ letters and was surprised that indeed the writings matched!

Dr. Vogrincic contacted Dr. Vivian Nutton, Emeritus Professor at the UCL Center for the History of Medicine in London. Dr. Nutton, a Latin scholar and Vesalius expert confirmed that this was a book that not only belonged to Vesalius, but that the handwriting, the style of the Latin was by Vesalius. The book includes corrections to the style, grammar, anatomy, images, and also instructions for a third edition that was never published.

The book now rests at the Thomas Fisher Rare Book Library in University of Toronto, Canada on a permanent loan, part of a 2015 exhibit, and was an important addition to the translation and annotations for the “New Fabrica” authored by Drs. M. Hast and D. Garrison. The New Fabrica is now out of print.

Here is a link to a YouTube video by Philip Oldfield, curator of the Thomas Fisher Rare Book Library in University of Toronto, Canada, talking about this book

Sources:
1. “The annotated Vesalius” Duffin, J; Duffin, J. CMAJ (2014) 186:11, 856-857
2. “A Clever Collector Makes an Astonishing Discovery” Vogrincic, Click here for the article
3. “Vesalius Revised. His Annotations to the 1555 Fabrica” Nutton, V. Med. Hist. (2012), 56(4), 415–443 Click here for the article
4. “Updated Census in USA of First Edition of Andreas Vesalius’ ‘De Humani Corporis Fabrica’ of 1543” Joffe, SN; Buchanan V. International Archives of Medicine; 2015: 8:1
5. “An Updated Census of the Edition of 1555 of Andreas Vesalius’ De Humani Corporis Fabrica in the United States of America” International Archives of Medicine; 2015: 8:1
6. “Vesalius’ notes for unpublished edition of De fabrica” Click here for the website 
7. "A Spectacular New Arrival" Oldfield, P; The Halcyon, Issue 49, June 2012 Click here for the article

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