Boston Pathology: the Founders and their Descendants. History of Pathology Society, 2015

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1 Boston Pathology: the Founders and their Descendants History of Pathology Society, 2015 Robert H. Young, Massachusetts General Hospital/Harvard Medical School The 19 th Century and the Era of Physician-Pathologists: The Warrens and Their Colleagues Michael J. O'Brien, Boston University School of Medicine The Turn of the Last Century and the Transition to Full-Time Pathologists: William Councilman, Frank Burr Mallory, and James Homer Wright David N. Louis, Massachusetts General Hospital/Harvard Medical School The Early 20th Century and the Spread of Pathology in Boston: The Many Hospitals and Many Descendents

2 Boston Pathology: the Founders and their Descendants

3 Boston Pathology: the Founders and their Descendants 1800 MGH JC Warren 1850 RH Fitz Harvard Med JBS Jackson Robert H. Young The 19 th Century and the Era of Physician-Pathologists: The Warrens and Their Colleagues JC Warren

4 Boston Pathology: the Founders and their Descendants 1800 MGH Harvard Med Michael J. O'Brien The Turn of the Last Century and the Transition to Full-Time Pathologists: William Councilman, Frank Burr Mallory, and James Homer Wright 1850 Harvard/Boston City W Councilman JH Wright MGH PB Brigham FB Mallory W Councilman Harvard/Boston City 2000

5 Boston Pathology: the Founders and their Descendants 1800 MGH Harvard Med David N. Louis The Early 20th Century and the Spread of Pathology in Boston: The Many Hospitals and Many Descendents 1850 Harvard/Boston City W Councilman Boston City FB Mallory 1900 JH Wright MGH FB Mallory PB Brigham W Councilman 1950 MGH TB Mallory B Castleman 2000 Boston City FC Parker K Mallory PB Brigham Children s Boston NE Lying-In Deaconess SB Wolbach H Cushing SB Wolbach S Farber SB Wolbach A Hertig Tufts S Warren T Leary O Gates HE MacMahon W Meissner Psych & State Institutions Beth Israel EE Southard M Canavan M Schlesinger

6 Boston Pathology: the Founders and their Descendants Harvard/Boston City W Councilman JH Wright MGH FB Mallory Boston City W Councilman PB Brigham Boston City FB Mallory MGH Boston City PB Brigham Children s Boston NE Lying-In Deaconess Tufts Psych & State Institutions Beth Israel TB Mallory B Castleman FC Parker K Mallory SB Wolbach H Cushing SB Wolbach S Farber SB Wolbach A Hertig S Warren T Leary O Gates HE MacMahon W Meissner EE Southard M Canavan David N. Louis The Early 20th Century and the Spread of Pathology in Boston: The Many Hospitals and Many Descendents

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8 The 19 th century and the era of physician-pathologists: The Warrens and their colleagues Robert H. Young MD Robert E Scully Professor of Pathology, Massachusetts General Hospital, Harvard Medical School.

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12 Early M.G.H. Milestones 1810 Activities of Reverend Bartlett and Drs. Warren and Jackson 1811 Charter 1817 Warren and Jackson appointed Surgeon and Physician 1818 July 4 th, Bulfinch cornerstone laid 1821 Sept. 3 rd, first patient

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18 J.C. Warren Born 1778 Family lived in downtown Boston At 15 years of age-harvard College Graduated 1797 Then one year studying French

19 Warren-Continued to England Dresser to Mr. W. Cooper Next year to Astley Cooper Autumn Edinburgh Paris Then home, marriage, practice No. 2 Park St.

20 Warren-continued Active interest in Mass. Med. Society with Dr. James Jackson 1806 Adj. Professor Anatomy and Surgery HMS 1810 Medical school to Boston 1815 New medical school building, death of father Birth of M.G.H.

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26 John Barnard Swett Jackson Nephew of James Jackson Father died when he was less than a year old Studied with: Dupuytren, Syme, Bright, Addison and Hodgkin First Professor of Pathological Anatomy in the US (1847) Curator of the pathological collection of the Boston Society for Medical Improvement Curator of the Warren Museum at HMS (founded by John Collins Warren) His catalogue of the Cabinet of the Boston Society for Medical Improvement was considered by a Philadelphia professor as "the most valuable contribution to pathological anatomy made up to that date in this country.

27 He was never tired of working at his specimens, to get them into the best condition and show them off to the best advantage He was the picture of cheerful content in the midst of the fragmentary specimens of nature's handiwork by which he was wont to be surrounded. No student in the first blush of his boyish enthusiasm was ever more full of excitement in illustrating some fact by a new preparation, or in rendering presentable some dilapidated tenant of his immortalizing receptacles. What he knew he knew thoroughly, but he never pretended to have the slightest knowledge beyond what his honest naked eyes could teach him. He was not ashamed of their nakedness: in fact it was next to impossible to coax him to look through a microscope. Oliver Wendell Holmes

28 In 1847, the MGH trustees voted that the admitting physician be authorized to purchase one of Oberhauser s microscopes at a cost not exceeding fifty dollars with stipulation that one of his duties was to examine microscopically and analyze all growths, tumors and diseased parts that may be removed from patients by operation or otherwise.

29 John Bacon, Jr.

30 Oliver Wendell Holmes

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33 Calvin Ellis Worked at HMS with JBS Jackson Curator of the Pathological Cabinet, MGH, Microscopist, MGH, Dean HMS,

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35 Reginald Heber Fitz ( ) Microscopist and Curator of the Pathological Cabinet, Pathologist,

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38 John Collins Warren, Jr. ( )

39 Jama:45, ,1905

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41 William Fiske Whitney surgical pathologist,

42 William Fiske Whitney HMS graduate Early interests in anatomy Curator of Warren Museum Expert on forensic medicine Professor of parasitic diseases at veterinary school Spoke six languages

43 The hesitating surgeon, knife in hand, uncertain whether to do a trifling operation or one terribly mutilating and severe, could always depend on the decision of his mastermind and vast experience, and a great number of men and women today owe their intact bodies, or their lives, to his quietly spoken opinion.

44 Surgical pathology: William Fiske Whitney Harry F. Hartwell

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