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Memories of Hugh Cairns* by Sir Geoffrey Jefferson

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Memories of Hugh Cairns* by Sir Geoffrey Jefferson J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.22.3.155 on 1 August 1959. Downloaded from J. Neurol. Neurosurg. Psychiat., 1959, 22, 155. MEMORIES OF HUGH CAIRNS* BY SIR GEOFFREY JEFFERSON Hugh Cairns was born at Port Pirie in South whom all went for advice, She had natural talents Australia on June 26, 1896. That is the starting and a zest for life; she was one to whom everyone in point, but some enrichment should come from a the village went with their troubles. Perhaps from sketch of his early days and his Australian back- her he inherited his love of music, which she taught, ground. To be born of sound, if humble, stock but there was also his father with his violin playing. under the high and wide Australian skies is as Hugh inherited something else from his father, a fine a beginning as a perfectionist trait in man could desire. His manual skills. The father, William Cairns, son was fortunate to threatened with tuber- have fused into his culosis, had sailed out character so much of from Scotland on medi- the best qualities of guest. Protected by copyright. cal advice. At Port his parents. I have had Pirie he had found the pleasure of visiting work in timber con- Riverton, a quiet place struction for the load- indeed, basking and ing of ships, for this often baking in the was the port of ship- brilliant sun and heat ment from the smelting of South Australia. I plant of the great saw the little primary Broken Hill Proprie- school and met, by tory, Australia's chief request, two or three up-country mining area people who had been and today its largest Hugh's school fellows. and richest company. It is a mixed school In Broken Hill, silver, now, as in Hugh's day, lead, and other metals boys and girls in one had been found in room a practice com- quantity. Hugh went mon enough in small to school at Port Pirie, schools in our own http://jnnp.bmj.com/ transferring to the country. A boy who Riverton High School made stupid answers when his parents was put back to sit moved away to this with the girls. This quiet little place of was not Hugh's fate, some 600 or 700 because from early people. It lies in good Col., later Brig., Sir Hugh Cairns, K.B.E. days, they still remem- agricultural farming ber, he learned so fast on September 29, 2021 by land and sheep country. Many of Australia's best that he outshone his companions. There is a vineyards are not far away, and it is a pity that we story current at Riverton that a visitor who had rarely see their products. There Hugh's parents asked him, as, aged about 4 or 5, he sat on the established themselves, his mother in particular floor playing, what he wished to be, received the being still remembered as a very kind woman to reply, "the greatest doctor on earth!" Only just *The first Sir Hugh Cairns Memorial Lecture delivered at the credible, I suppose. The child went far on the London Hospital in October, 1958. way to that impossible goal. It was not long before 2 155 J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.22.3.155 on 1 August 1959. Downloaded from 156 SIR GEOFFREY JEFFERSON Hugh won a bursary that took him 60 miles to on the Surgical Unit under (Sir) Henry Souttar, the Adelaide High School. This is a fine school Director of the Surgical Unit. At the suggestion by any standards, as so many Australian schools of Alan Gregg, from that time on his friend and are, finely rebuilt since Cairns' day. In conver- helper, and fired by his reading of Harvey Cushing's sation with his old headmaster, Mr. West, I found writings, he applied successfully for a Rockefeller that he was deeply impressed still by his memories Travelling Scholarship and went to the Peter Bent of the boy. "A bright, frank, and candid boy- Brigham Hospital for 12 months in September, 1926, always popular but never seeking to be," he said shortly after appointment to the honorary staff of of him, "always top of his class and finally top the London Hospital (June 2, 1926-full surgeon of the school." No one, I venture to say, will deny June 7, 1933). From that time on his future was that this was a wonderfully accurate forecast of the certain. character of the man. Winning an exhibition he Stimulated by Cushing's example by what he had moved on to Adelaide University where he continued learned at first hand and by Cushing's advice he his unbroken story of success. There he met had decided to devote his life to neurological Leonard Lindon who, as another oarsman, Rhodes surgery as a specialty. Many wagged their beards in Scholar, and eventual neurosurgeon, became one of dismay because no surgeon in London had ever his closest friends. They had many qualities in thought that he could make a living out of so recon- common. Hugh Cairns was not noted, it seems, for dite a pursuit-nobody, that is, since Victor Horsley, athletic prowess until he took up rowing at the and he had done a little general surgery. Much University. Soon he was in the Adelaide University wiser, it was thought, would it be to take neuro- crew as he was again at Oxford, gaining his "Blue" surgery as a sort of dilettante hobby, an ornamental in 1920. Rowing men rarely excel at ball games and sideline to bread-and-butter general surgery in the guest. Protected by copyright. though Hugh Cairns was interested in all sport he way that Percy Sargent was so successfully doing. by no means allowed that interest to encroach on Cairns was nothing if not stubborn and, it must be his work. Work dominated his life from the earliest said, courageous. Aided by a grant from the days; it was dogged that did it, he was not to be Rockefeller Foundation arranged for him by Alan distracted from the task in hand. On leaving Oxford Gregg, he thought that he could get by if he lived he abandoned rowing to work for his F.R.C.S., the quietly. There were hardships as there were for all aim of all good Australians with surgical ambitions ambitious young men without capital in those times. and a worthy one. He and Lindon roomed in the The project could not have succeeded except with same house as Archie Malloch, the young Canadian the collusion and help of his wife, Barbara Smith, who had watched at Osler's bedside and became the beautiful youngest daughter of the Master of eventually Librarian to the New York Academy of Balliol. By the happy circumstance of his marriage Medicine; they burned his gas-fire far into the night, Hugh had forged another link binding him to having no money for their own. Oxford. Fortune had certainly smiled in other ways The high spot in his life so far had been his as well on this vigorous and friendly young Australian acquisition of a Rhodes Scholarship in 1919. with the charming manners, for there was nothing Balliol was his College, and he could have had no brash or raw about Hugh-nothing, that is, if he better. He gave it all his loyalty and admiration (in was getting his own way! Rarely did he fail to do 1937 Balliol repaid him by making him a Fellow). so, for everything seemed to come to him of its own Before this he had had two periods with the army accord. http://jnnp.bmj.com/ in the First World War, was invalided back to The year of his return from Boston saw the start Adelaide from Lemnos with typhoid, there to of his efforts to found a neurosurgical department finish his medical studies and return at once to to pair with the medical neurology of George France to an English battalion until the war's end. Riddoch and Russell Brain. This had meant a Hugh Cairns went to the London Hospital after breakaway from Souttar and such neurosurgery as having a resident post at the Radcliffe Infirmary. was already in being. Cairns thought this break He was house surgeon to Henry Souttar (1921) and unavoidable. He wished to apply the special house physician to Sir Robert Hutchison in the same techniques, the team work, and ways of thinking on September 29, 2021 by year. He had already been assistant in pathology that he had learned with Harvey Cushing and he under Professor Turnbull where he began the work knew that he could do so only if he were in control on tumours of the testis that he presented as his and independent. Cairns felt badly about the address as Hunterian Professor at the Royal College break because Souttar had been nothing but kind of Surgeons in 1925. Turnbull, whom he greatly and helpful to him. In his last illness Hugh Cairns admired, certainly implanted in Hugh a life-long told me that it still worried him that he had hurt interest in pathology. By this time he was assistant Souttar's feelings. As a junior surgeon there were J Neurol Neurosurg Psychiatry: first published as 10.1136/jnnp.22.3.155 on 1 August 1959. Downloaded from MEMORIES OF HUGH CAIRNS 157 difficulties in establishing something different from facilities for clinical research were virtually non- the traditional teaching hospital unit. I know this existent and (what was equally bad) many universities because I was facing the same problems at the same had either no or inadequate facilities for survival time but with more encouragement from colleagues.
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