Medical Terminology Daily - Est. 2012

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.

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A Moment in History

William S. Halsted, MD

William S. Halsted, MD
(1852 – 1922)

American anatomist, teacher, and surgeon, William Stewart Halsted was born in New York City, USA to a wealthy family of English origin. His father was involved in charitable work and Governor and trustee to a city hospital. Not a brilliant student initially, Halsted took an undergraduate in Liberal Arts in Yale, CT., after which he entered the Medical College of Physicians at the Columbia College, where he excelled.

As a second-year medical student Halsted applied and obtained a position in surgery at a local hospital. In here he learned about Lister’s antiseptic technique and became an adamant proponent of it to reduce infection. In 1877 Halsted obtained his MD. After a short time as House Physician at the New York Hospital, Halsted traveled to Europe to further his education studying for two years at the Universities of Vienna, Leipzig, and W?rzburg.

Besides being at the forefront of surgical and antiseptic techniques (introducing the use of rubber gloves in surgery), Halsted was extremely concerned with the way medical students were taught in the US. He pioneered bedside clinical round discussions with the medical students after two years of basic sciences studies. Halsted developed the idea of a patient chart; he also developed the residency program for medical students in use today.

Halsted is probably the most influential researcher and surgeon at the turn of the century. He dedicated time to the study of intestinal anastomoses and the use of silk as a suture material. His experimental work in 1887 proved that the inclusion of the submucosa layer in an anastomosis was mandatory, as well that a single layered anastomosis was enough to attain closure. Perhaps Halsted’s most important contribution was the application and use of the scientific method to surgical questions. Halsted’s principles, also known as  "Halsted's Rules of Surgery", set the standards used today in surgical suturing and surgical stapling.

He also pioneered the development and surgical techniques for radical mastectomy as a treatment for breast cancer.

As a side effect of this studied in anesthesia and the use of cocaine for anesthesia, Halsted became addicted to this substance, a problem that followed him through the years. Without impairing his capacity as a researcher and a surgeon, Halsted eventually recovered. He died in Baltimore in 1922 as a complication to surgery.

Sources:
1. Dubay, A. D., & Franz, G. M. (2003). Acute Wound Healing: The Biology of Acute Wound Failure. Surg Clin NA, 83, 463-481.
2. Halsted, W. S. (1887). Circular Suture of the Intestine - An Experimental Study. Am J Med Sci, 436-461.
3. “William Stewart Halsted: his life and contributions to surgery” Osborne, P. Lancet Oncol 2007; 8: 256–65
4. “William Stewart Halsted: Surgical pioneer” Burress, P Endoc Today (2010), 8: (2) 22
5. “William Stewart Halsted (1852–1922) Neurological stamp” Haas, LF J Neurol Neurosurg Psych 2000;69:641
Original image courtesy of "Images from the History of Medicine" at  www.nih.gov


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The King's Anatomist - Book by Ron Blumenfeld MD
The King's Anatomist - Book Cover
Click on the image for a larger version

[UPDATED 11/30/2023] “In 1565 Brussels, the reclusive mathematician Jan van den Bossche receives shattering news that his lifelong friend, the renowned and controversial anatomist Andreas Vesalius, has died on the Greek island of Zante (today’s Zakynthos) returning from a pilgrimage to the Holy Land. Jan decides to journey to his friend’s grave to offer his last goodbye…” Thus begins the saga and the book the “King’s Anatomist”.

In June 2022 during the annual American Association of Clinical Anatomists (AACA) meeting in Fort Worth, TX, I was lucky to bid and win this, one of the latest books on Andreas Vesalius. This book, written by Ron Blumenfeld, MD. proved to be not only a great read, but also an quite historically accurate story. Let me explain this statement.

The book belongs to the genre of Historical Fiction, where the author does detailed research on a topic and then writes on accurate background but adds fictional characters and situations. Sometimes, as in this book, it follows a mystery that slowly unravels leading to shocking situations. To be fair, the author does explain what is not necessarily quite historically accurate, so as to leave no doubt about what is real or not.

The book is enthralling, the plot well developed, and the description of the academic environment, the details of the scenery for the travelers, the pettiness of war, etc., is not only interesting, but also portrays the times during the life of Andreas Vesalius in such a way that I felt transported there. It was very difficult to put the book down until I finished it.

The author does a great job getting us a little bit closer to who was Andreas Vesalius, the child at school, the youngster, the anatomist, the friend, the father, and the husband.

I should probably stop here and let you decide on the book for yourself without giving too much away. I strongly recommend this book and hope that you will enjoy it as much as I did. You can visit Ron’s website here to buy his book.

Ron and I both attended the 2014 “Vesalius Continuum” meeting in the Greek island of Zakynthos. This meeting celebrated the 500th anniversary of the birth of Andreas Vesalius. Part of the book he wrote is based on the discussions and presentations at this meeting.

Ron Blumenfeld and me in Antwerp
Ron Blumenfeld

Following are some excerpts of Ron’s bio and website in his own words:

“I’m a native New Yorker, pediatrician and health care executive who reunited with his inner writer in retirement. I surrendered the pleasure of writing columns on various topics for my local newspaper in Connecticut to focus on my debut novel, The King’s Anatomist”

“There always was a writer cooped up inside me, but he got loose only after I retired. I had permitted him to show up only in school classes, health and business writing, and newspaper columns, but I realize now that I kept him on a short leash because I was afraid of him – afraid of his disruptive potential and afraid of what he would look like to the world. But at this point in my life, I got past those excuses and let him out to see what he could do.

"The King’s Anatomist, it turned out, was an ideal writing project, anchored in facts, but with ample room for creativity. Thank you, Andreas Vesalius, for being such an interesting guy.”

UPDATE: I was glad to see Ron Blumenfeld again when he attended the 2023 Vesalius Triennial Meeting in the city of Antwerp, Belgium where I had been invited to participate. We had a great time in the conference, walking around the city, and at local restaurants! Also, thank you, Ron, for signing and dedicating my personal copy of your book. It has a nice place in my library. Dr. Miranda.

Should you want to look for more information on Andreas Vesalius in this website click here.