Monday, June 21, 2010

An innocent abroad, or Howard Dittrick’s visit to the Wellcome Historical Medical Museum, 1928















I just finished reading Frances Larson’s wonderful book about Henry Wellcome and his collection, An Infinity of Things: How Sir Henry Wellcome Collected the World (Oxford, 2009). Larson deftly recounts Wellcome’s remarkable saga, from poor kid from Minnestota to a rich, knighted businessman in Britain, amassing a great fortune in the pharmaceutical industry. Initially, Wellcome collected curios to convey the air of an established gentleman, an exercise made easy by having honed his skills of presentation in the drug trade. But over time Wellcome’s collecting morphed from hobby to obsession, and by the time of his death in 1936 his collection easily exceeded a million objects, packed in thousands of unopened crates in London warehouses. Larson’s telling of this story is sensitive and insightful, and situates Wellcome within the collecting mania of the wealthy in the late 19th and early 20th centuries. It’s a complex tale, and well worth the read.

Learning more about Wellcome’s story compelled a new look at his impact upon Howard Dittrick. In 1928, Dittrick travelled across the Continent, through Italy, Hungary, Germany, Switzerland, France, Belgium, Holland, and, finally, Britain. Along the way he saw the major medical history museums and chatted with their caretakers, including Dr. G. A. Wehrli of the Medizingeschichtliche Sammlung der Universitat Zurich in Switzerland and L. W. G. Malcolm at the Wellcome Historical Medical Museum in London and C. J. S. Thompson, formerly of the Wellcome, but now at the Royal College of Surgeons in London. From these men he gained invaluable insights into purposes and functioning of medical history museums. Dittrick was later fond of recalling the admonition of Sir Arthur Keith, of the Royal College of Surgeons, "never to treat any donated historic material as junk."

I went back to Howard’s travel diaries to see what impression the Wellcome Historical Medical Museum (1913-32) made upon him.
Dittrick had only been curator at the Cleveland museum for two years, and in that sense remained a neophyte. After arriving in London, Dr. and Mrs. Dittrick did some general sightseeing and then he called at the Wellcome Museum on May 25: “Met Mr. Malcolm & went over Museum. Many pictures & paintings used. Set up of pharmacy shops of periods are Turkish, Old time Barber Surgeon…”



Dittrick’s travel diary goes on for several pages, making note of a seemingly random litany of odd and offbeat things that attracted his attention and that he deemed worthy of note – a curious trephine, Leper’s clapper, copper cupping instruments from India, and so on. Dittrick returned the next day, May 26, again taking note of the curious and the remarkable. He carefully transcribed text from labels: “ ‘The Evolution of the Lancet. The fingernail was the earliest form of lancet… The medicine men of many countries savage races also use the nail as a lancet and the same custom exists even today among country practitioners in Europe.” On May 29, in the afternoon, Dittrick returned to the Wellcome, jotting down notes on a panoply of the curious and the strange, from rhinoceros horn cups thought to neutralize the effect of poisons, to the academic gown of Sir William Osler, and to medals and amulets for the plague.


On the morning of May 30 he met with Wellcome’s curator Macolm for a more substantive interaction. Dittrick recorded details of collection care and management in his diary: “In labeling instruments he uses ordinary tube paint & gold size painted on with a fine brush. See small notebook for complete scheme of classification. Had conference with Mr. Malcolm, & he asked me to write on my return for any requests. He wants model of Perkens Tractors and a quack treatment by Radium by Wireless.” So at this early juncture an exchange between Dittrick and Wellcome’s agents was in play, and correspondence in the Dittrick Museum accession files testifies to its continuance, even if only on occasion – Dittrck wrote chiefly soliciting help in identifying or documenting unusual items.

What Dittrick could not apprehend, but Larson’s book makes clear, is that Wellcome’s collection had already gotten far out of hand. What took almost forty years to collect would take another forty years to put in order – some by donation to the Science Museum where it can be seen in the Wellcome galleries, some remaining part of the Wellcome Trust and can today be seen in their gallery on Euston Road, and much dispersed to ethnographic collections or sold at auction.


Upon return to Cleveland Dittrick set about implementing the Wellcome’s classification system, became inspired to seek out new, exotic material for his museum, and aspired to create collections and galleries inspired by the visit to London. Like Wellcome, this process would not be finished in Dittrick’s lifetime. Perhaps this was their inescapable fate. For as Larson concludes, “… neither knowledge nor a collection can be finished. …There is always more to know, and there is always more to buy.”


Jim Edmonson


Dittrick's hotel bill



Monday, May 17, 2010

Celebrating the Pill: two offerings from across the spectrum of interest.

With all the hoopla commemorating the 50th anniversary of the Pill, I’ve seen and read a lot of compelling commentaries. But for my money, the two best offerings come distant poles of competence and interest. One comes from a distinguished senior scientist in family planning residing in California, and the other is from a high school sophomore (!) in greater Cleveland.

The most compelling and well-reasoned celebration of the Pill that I’ve read so far comes from Malcolm Potts, the Bixby Professor of Population and Family Planning at the School of Public Health, University of California, Berkeley. Dr. Potts is a Cambridge educated obstetrician who has devoted his career to women’s health and reproduction science, and for ten years he served as Medical Director of the International Planned Parenthood Federation. On Mother’s day he published an op-ed piece in the LA Times, and I commend it heartily to you: The pill — a modern philosopher's stone.

Another celebration of the Pill comes to us from Shaker High School sophomore Luken Zhang. For her
National History Day project, Ms. Zhang decided to focus on the Pill, its social and culture origins and impact. To present her perspective she fashioned a super website entitled The Pill: Birth of a New Woman. The site is loaded with pictures, video clips, and archival sources, making the story of the Pill really come alive.

Ms. Zhang stopped by the Dittrick to capture some i
mages in our gallery featuring the Percy Skuy Collection on the History of Contraception. She also interviewed me on the topic, after her website had made it to the regional finals of History Day. In our conversation, I asked her what she had learned in the process of studying the Pill. She said that she never appreciated how much one thing, one innovation, could influence our lives so profoundly. Seems like a pretty good lesson to have learned while still yet a high school sophomore! Ms. Zhang is off to the National History Day national finals in Washington, DC in June, and we’ll be rooting for her and wishing her much well-deserved success!

Jim Edmonson


p.s. -- by the way, National History Day originated at Case Western Reserve University in 1974, as the brainchild of history professor David van Tassel. Read about it in a
remembrance of van Tassel by Cathy Gorn, director of National History Day.

Thursday, May 13, 2010

Picturing the physician–patient encounter.


L. M. Lawson, M.D., "Lectures on the Pathology, Diagnosis and Treatment of Diseases of the Chest; … Mode of Auscultation -- Stethoscopes," The Western Lancet Vol XI, No.3 (March, 1850): fig 24 (opp p 137).

This summer at the Dittrick we are busy revamping our balcony display of diagnostic instruments first installed way back in 1976. As previously discussed in the Newsletter of the Cleveland Medical Library Associaton, this renovation has been precipitated by donations by Don Blaufox of drawings of stethoscopes (Fall 2008) and his extensive collection of historic stethoscopes and sphygmomanometers (Spring 2009).



A.B. Norton, M.D Ophthalmic Diseases and Therapeutics. 1898. p 30, fig 6


It’s an exciting and challenging prospect to make these instruments come alive, to show how they enhanced the process of diagnosis and altered the physician-patient encounter in the physical examination. We’re hot on the trail of images depicting doctors and their patients, using a variety of diagnostic instruments. Great help is to be found in the Cleveland Medical Library collection in the Allen, the first core library established in 1893. Museum volunteer Jim Vendeland, a retired ophthalmologist, is plowing his way through the monograph collection to ferret out such images. As Jim tracks them down, museum student assistant Gillian Seaman (history major at Case) is scanning the images and carefully documenting them. The result? A growing fund of images seldom seen before, as most are buried deeply in medical literature of the late nineteenth and early twentieth centuries.


H. C. Burnett, System of Diseases of the Ear, Nose, and Throat. 1893. p 116, fig 16.


In addition to providing a pool of images useful for the diagnostic instrument gallery, we are generating a visual library of arresting and fresh (though technically “old”) depictions of doctors examining patients. All too often, illustrated works on the history of medicine use hackneyed, clichéd images. We’re happy to break from that pattern, and will be sharing our finds as this project proceeds.


Bon courage.


Jim Edmonson





Thursday, May 6, 2010

When a pill became The Pill, a half century ago




This Sunday, Mother's Day, marks the fiftieth anniversary of FDA approval of oral contraception. The occasion is being observed in many news stories about the Pill, its advent and its social, cultural, and demographic impact. It's no small matter as over 100 milliion women use oral contraceptives in America today.


The Dittrick’s Skuy Gallery features a display devoted to the Pill, highlighting those responsible for its development, and how this new form of contraception was received by the medical community, and across the political spectrum from the Catholic church to proponents of the “sexual revolution”.

The forms of packaging used for the marketing and dosage comprise a particularly interesting aspect of the Skuy Gallery display. Early pill bottles, for Enovid distributed by G. D. Searle, & Co. resemble those customarily used for any form of oral medication. Soon, however, contraceptive makers introduced a range of packaging concealing the identity and function of oral contraceptives.


By placing them in containers that resembled cosmetic compacts or lipstick holders, pharmaceutical manufacturers promoted social discretion of those taking the Pill. In some states, contraceptives remained ostensibly illegal in 1960, so concealment was the order of the day.

To encourage compliance and ensure appropriate dosage, one concerned husband, an engineer named David Wagner, redesigned the oral contraceptive container, giving us the iconic dialpak dispenser (patented July 27, 1962). He first presented it to G. D. Searle, but they seemed preoccupied with other marketing issues. In the fall of 1962 Wagner showed it to Ortho Pharmaceutical, but they, too, showed little apparent interest. Six months later, in February 1963, Ortho introduced the Dialpak, which curiously resembled Wagner's design in every way! Long story short, Wagner defended his patent and the two parties settled. Wagner's dialpak design was here to stay. And there's no mistaking it for anything else!

The dialpak story is compellingly told by Pat Gossell in her essay, “Packaging the Pill,” which appeared in the collection of essays entitled Manifesting Medicine: Bodies and Machines (1999) edited by Robert Bud, Bernard Finn, Helmuth Trischler.

With all that is being written and posted online, I took a look around and can recommend these articles for further reading:

The Pill at 50: Sex, Freedom and Paradox. Time by Nancy Gibb, Apr. 22, 2010

It Started More Than One Revolution. NYT by Gardiner Harris May 3, 2010

The Pill at 50: Taking stock. Huffington Post by Christiane Northrup, MD April 22, 2010.

Why I hate the pill. The birth control revolution brought freedom to countless women. It brought misery to me. Salon.com by Geraldine Sealey May 3, 201

What Every Girl Should Know. NYT by Gail Collins May 8, 2010

50 Years of a sometimes bitter pill. BBC News by Claire Murphy May 7, 2010



Monday, April 26, 2010

The Creation Museum : museum or theme park?


Pat Gerstner, trooper


entrance : only $21.95


you will behave...

In early April the Dittrick staff headed to Cincinnati for the annual meeting of the Ohio Academy of Medical History. We took advantage of the opportunity to head into Kentucky and check out the Creation Museum, which we had heard a lot about since its opening in 2007. We just wanted to see for ourselves and went there chiefly as a matter of professional curiosity. We anticipated an unusual, quirky museum-going experience and the place did not disappoint.

Now I don’t want to belabor the details because that would give the place more credence than it deserves. The bottom line for me is that it’s not a museum at all (at least, not in my perhaps traditional sense of that word). Admittedly, the term museum has about as much consistency of meaning and definition at the appellation curator, meaning : not much. But I still think of museums as having been created to warehouse things -- objects, artifacts, specimens – for purposes of wonder, study, analysis, interpretation, education, and enlightenment. In a broad sense, the American Association of Museums agrees. On its website the AAM addresses the definition of museum:

American museums are infinitely diverse. The AAM Code of Ethics for Museums notes that their common denominator is making a "unique contribution to the public by collecting, preserving, and interpreting the things of this world."
http://www.aam-us.org/aboutmuseums/whatis.cfm

The only “things of this world” found in the Creation Museum are models, dioramas, animatronic figures, videos, and conventional exhibitry. There is just nothing real here. We saw a fake archeological dig, life size dioramas or tableaux of manikins, including Adam and Eve co-habiting the Garden of Eden with dinosaurs, and a panoply of biblical figures in animatronic form (my favorite was Noah, who sounded like an old Russian Jew). Again, just nothing real. I will let our pictures (mine and those by Laura Travis) tell the story.


welcome to the Grand Canyon, sort of


a faux dig


oh yeah, the white guy gets it right -- the world is only 6000 years old...


Lucy is here, too, much to the surprise of my curatorial colleagues at the CMNH, including Bruce Latimer, who was on the team that discovered this landmark fossil


could have photoshopped my baldspot!


faith vs. reason: more of a standoff than a dialogue


and now for the heavy religious schtick...


Adam hangs with the wild creatures


don't look now, but there's a serpent overhead...


vegan dino


got some 'splainin' to do...


dinos on the ark!


is this a gay dino couple? they sure resemble each other. perhaps passing as twins?


the waters are rising


sinners and infidels left behind

So, if the place is not a museum, what is it? I liken it to a theme park, perhaps a biblical Jurassic park. But instead of T-rex chasing after you, teeth flashing, you are hounded by evil and despair stemming from not accepting a literal interpretation of biblical truth. Forsaking God’s word, as found in Genesis, lies at the root of all ills and suffering in the world.


suffering and anguish for the unbeliever


blasphermer! infidel! heathen!

There’s a sinister, dark urban edge to all this, too.







the never-ending fight over abortion


evolution, the biggest challenge to the scripture

So as one leaves the final video, an appeal is made to accept Jesus as your savior. Indeed, I even came away with a pledge card (I think they surreptitiously slipped it into my bag at the “museum” store).





No "museum" is complete without its own store and merchandising program, and the Creation Museum is not to be outdone:


Curator emerita Patsy Gerstner checks out the offerings...


proclaim your belief (your faith, not your reason)


dinos for kids


dinos, again

An English colleague, Lisa O'Sullivan (Science Museum) upon hearing that we had visited the Creation Museum queried, “How many visitors are just curious, like you, and not true believers?” I would have to say not many. If you can judge a book (including the good book) by it’s cover, we were in the decided minority. This place is mecca (oops, bad metaphor!) for believers, who finally feel validated that their beliefs are now safely ensconced in a museum, that bulwark of veracity in our society.

Jim Edmonson

For those that want a couple of entertaining takes of the Creation Museum, I encourage you to see the articles by Edward Rothstein, Stephen Asma, and A. A. Gill (accompanied by the actor and photographer Paul Bettany, who plays Darwin in the film Creation).

Tuesday, April 20, 2010

A visit with Sara Shechner at Harvard

While in Boston recently for our Dissection gig at the Warren Anatomical Museum (Countway Library, HMS), I managed to fit in a visit to see Sara Schechner, curator of Harvard’s Collection of Scientific Instruments. I’ve known Sara for several years and admired her work and energy from afar. Actually, we occupy parallel worlds, hers the history of science; mine the history of medicine. Our commonality resides in the curation of instrument collections, and the challenge and enjoyment of making sense of the artifacts in our care.

Sara Schechner


Sara’s effort to bring the Harvard collections into the classroom is most impressive. She has creatively integrated material culture (objects) into the conventional print and text-oriented culture across the Harvard curriculum. It’s a daunting endeavor, and requires no small measure of initiative and entrepreneurship. The History of Science Society recognized Sara’s accomplishments in this sphere by the prestigious Joseph H. Hazen Education Prize for innovative teaching both in and outside museums in 2008


In the past decade Sara presided over a relocation of the Harvard collection to a newly constructed (2003) home for the Department of the History of Science, with new storage facilities.


Collection compact storage

Microscopes in storage


What I really came to see was the permanent interpretive exhibition in the new Putnam Gallery, which opened in 2005. Sara's exhibition, Time, Life, and Matter: Science in Cambridge, on permanent display in the Putnam Gallery of Harvard's Science Center, took first place in the 2007 International Design Awards competition.


So, here are some pics of the Putnam Gallery. You can also look at images of artifacts on display via Waywiser, a new online database.




Colonial science: mathematical instruments, time finding, surveying, navigation


Time finding: sundials

Section: astronomer’s time


Natural philosophy: optical instruments


Orreries

Cyclotron control console


Cyclotron bulletin board : staff call list, &c



Takeout menus


Next time that you’re in Boston, seek out Harvard’s Putnam Gallery and if possible stop in to say hello to Sara. You’ll be glad you did.


Jim Edmonson