BRrnSH 764 MARCH 27, 1954 OBITUARY MEDICAL JOURNAL

for Women, Liverpool, before moving to London, where he worked successively as house-physician at the East Obituary London Hospital for Children and as clinical assistant to the ophthalmic out-patients department at the London Hospital. In 1906 he entered a partnership at Eastbourne, H. W. MARETT TIMS, O.B.E., M.D. where he remained until he retired in 1922, except for the period of his service as a temporary captain in the R.A.M.C. H. W. Marett Tims died at Lower Bourne, near Dr. in Italy and France in the first world war. In 1923 he Farnham, Surrey, on March 4, eight days before his was appointed a cavalier of the Order of the Crown of 91st birthday. All through his professional career his Italy for distinguished services rendered during the war. In interests ranged widely over the whole field of biology, 1922 he took up residence in Switzerland and remained there and he was perhaps best known as professor of biology until his death, except for the major part of the last war, at the Royal Veterinary College. when he was in England. He is survived by a widow, two sons, and three daughters. Henry William Marett Tims was born at Calcutta, the son of Dr. T. Lamb Tims, and was educated at Reading Hoylake, School and at Edinburgh University, where he had an Dr. EDGAR STEVENSON, who died at his home at Cheshire, on February 3 at the age of 86, was for many outstanding career as a student. He obtained first-class years well known as an ophthalmic surgeon in the Liver- honours in anatomy, surgery, and clinical surgery and pool area. He studied medicine at Aberdeen, graduating M.B., C.M. in 1887. Three years later he graduated M.B., C.M. in 1889, and proceeded to the M.D., with com- proceeded to the M.D., with commendation. After mendation, three years later. After a period of study at graduation he held the appointment of assistant Strasbourg he returned to his home at Birkenhead. In 1892 demonstrator in anatomy and physiology in Edinburgh he was appointed house-surgeon to the Liverpool Eye and University, and then, in 1889, he came to London to Ear Infirmary, becoming assistant surgeon two years later, continue his postgraduate studies at St. Thomas's as well as honorary ophthalmic surgeon to Toxteth work- house. At the beginning of the century he was appointed Hospital. Then for a number of years in the late to the honorary staff of the Eye and Ear Infirmary--to which 'eighties and early 'nineties he was employed as a medical he later became consulting ophthalmic surgeon-and also officer under the London County Council. In 1892 he demonstrator in ophthalmology in University College, Liver- became lecturer in biology and comparative anatomy at pool, a post he held for a number of years. At Liverpool Westminster Hospital Medical School, an appointment he was in partnership first with Dr. Edgar A. Browne, a he held until 1901, when he took up a similar post at son of Hablot Knight Browne, better known as "Phiz," the Charing Cross Hospital Medical School. A few the illustrator of books by Charles Dickens, and later with years later he became reader in zoology at the Bedford Dr. F. B. Chavasse, son of the second Bishop of Liverpool. College for Women in London University, and in 1908 During the first world war Dr. Stevenson served as an ophthalmic surgeon attached to the 1 st Western General was appointed to the chair of biology at the Royal Hospital. Later he became ophthalmic surgeon to the Minis- Veterinary College. To these two appointments he try of Pensions Hospital at Liverpool. Among his many until the outbreak of devoted a good deal of his time contributions to the medical literature was a paper on the the first world war in 1914, when he relinquished his treatment of corneal opacities by electrolysis which appeared civilian duties to serve in the R.A.M.C., in which he in this Jouirnal in 1896. After his retirement he went to attained the rank of lieutenant-colonel. For his war live at Hoylake. For relaxation he enjoyed fishing, and work he was appointed O.B.E. in 1919, and in the follow- only recently had contributed an article to the Fishing ing year he was awarded the Order of St. Sava by the Gazette. His wife, formerly Miss Helen D. L. Gunn, had King of Yugoslavia. predeceased him by only two weeks. many years Dr. Marett Tims acted as examiner For Dr. G. H. GRILLS, formerly medical superintendent of the in physiology and biology for the Society of Apothe- County Mental Hospital, Chester, died at his home at caries of London and in elementary biology for the Lon- Lymm on February 16 at the age of 82. Galbraith Hamilton don Conjoint Board. After the war he was for a time Grills was born on April 17, 1871, and was educated at the reader in zoology and comparative anatomy in London old Queen's College, Belfast, and at Liverpool University, University and lecturer in comparative dental anatomy graduating M.B., B.Ch. at the former Royal University of at the Royal Dental Hospital of London. Always keenly Ireland in 1899. He proceeded to the M.D. in 1902, and was awarded the diploma in mental and nervous disorders he contributed a number of interested in odontology, of the University and the Gaskell medal and prize of the important papers on the subject to various scientific pub- Royal Medico-Psychological Association. Dr. Grills spent lications. He also edited the seventh and eighth editions practically the whole of his professional life at the County of Tomes's Dental Anatomy. He had been recorder and Mental Hospital, Chester, where he first went in the early vice-president of section D of the British Association, 1900's as assistant medical officer. He later became medical and while resident in the Channel Islands, where he superintendent and held the post for many years, retiring lived for a time after the first world war, he was chair- in 1945, when he went to live at King's Norton, Birming- Last year, however, he returned to the county he had man of the Jersey Division of the British Medical Asso- ham. ciation in 1924-5. In 1888 he married Miss Alice M. M. served so well and took up residence at Lymm, where he died. Findlay, who died in 1950. There was one son and one J. H. M. writes: Having been associated with Dr. Grills daughter of the marriage. for well over 30 years, I find it hard to realize that he nas passed on. Somehow I regarded him as one who had discovered the secret of perpetual youth. His unceasing vitality, his boundless enthusiasm, and his boyishness of Dr. AMBROSE EMERSON, who was in general practice at spirits never suggested that he should grow old, although he Eastbourne for many years, died suddenly at his home at lived to the good age of 82. He was a doyen and a pioneer Vennes-sur-Lausanne, Switzerland, on January 28 at the among medical superintendents. All his vigour of mind age of 78. Ambrose Emerson was born on January 15, and body was given whole-heartedly to his life's work, 1876, and was educated at Cambridge University and at which he loved and in which he spent 45 years of active University College Hospital, graduating M.B., B.Chir. in service. His sympathy, kindliness, and knowledge were ever 1901. He proceeded to the M.D. three years later. He available to his patients as well as to his junior colleagues, held appointments at the Stanley Hospital and the Hospital who mourn the passing of a great and lovable gentleman. BRITISH MARCH 27, 1954 OBITUARY MEDICAL JOURNAL 765 He was invariably in the van in the use of new treatments. tion of Boy Scouts, a post which he filled with great pride His hospital was among the first to introduce malarial to himself and to everybody else's great satisfaction until his therapy, diathermy, sun-ray lamps, electric shock treatment, death. He was also a keen sportsman, being a good shot etc. His motto was " To stand still is to recede." He genu- and fisherman, a life member of the local rowing club, and a inely felt for his patients. My own feeling is that he re- founder member of the tennis club. In quieter vein he was garded it almost as an injustice that they should be so fond of gardening, showing special interest in the growing sorelv afflicted. "What better are we," he used to say, of chrysanthemums. In his heyday Dr. Miles was a tall, "that we should escape?" Material improvements during well-built man, and his character fully matched his physical his tenure of office were many and included a new annexe stature. Forthright and plain spoken, he had all the courage (12 wards) with operating theatre, a handsome home for of his convictions, but nobody suffered hurt thereby. His nurses, and the complete modernizing of the (then) 100-year- was a deeply religious nature, and this brought all the gentle- old building. He had no hobbies as such. He was devoted ness and goodness of religion into his activities and his to his family and home. He was a profound thinker, always dealings with his fellow men. Indeed, he was built four- seeking after truth. Books dealing with matters meta- square. And all these attributes, welded with a sound pro- physical and mystical were his joy, and it was a sheer delight fessional skill and wisdom, made him what he was-a family to listen to his discoursing on these and kindred subjects. doctor par excellence. To his widow, after the joy of a From him I learnt much. He is survived by his wife and golden wedding anniversary, his children, and his grand- daughter and three grandchildren, to whom we extend our children must go the sympathy of all who knew him. sympathy in their sudden and sad bereavement. -C. P. P. Dr. C. B. COHEN, a well-known general practitioner at Dr. D. B. KENNY died on February 13, in a motor Oxted. Surrey, died in St. Thomas's Hospital on February 10 accident, at the age of 34. Douglas Boal Kenny was born at the age of 59. Charles Benjamin Cohen was born on on February 1, 1920, and was educated at Campbell College, August 15, 1894, the son of the late Sir Benjamin Cohen, Belfast, and at Queen's University, where he graduated K.C., and was educated at Rugby School and at Trinity M.B.. B.Ch., in 1945. After graduation he held appoint- College, Cambridge, before entering St. Thomas's Hospital ments as house-surgeon at the Belfast City Hospital and as a medical student in 1916. He qualified M.R.C.S., the Dreadnought Seamen's Hospital, London. A period as L.R.C.P. in 1918, and after holding a house appointment at a ship surgeon followed before he joined Dr. J. G. Johnston St. Thomas's served as a captain in the R.A.M.C. in the first in practice at Lisburn, Northern Ireland. A quiet and world war. After demobilization he obtained further experi- kindly man, Dr. Kenny was rapidly building up a reputation ence as a house-surgeon at his own teaching hospital and as a first-class general practitioner, and he will be greatly as a house-physician at the Brompton Hospital. He missed by his friends, colleagues, and patients. He is sur- graduated M.B., B.Chir. in 1920 and proceeded to the M.D. vived by his widow, to whom we extend our sympathy. four years later. After a period of practice at Brighton and at New Malden, Surrey, he became, in 1931, a junior partner Dame GRACE THYRZA KIMMINS, who devoted her life to in a practice at Oxted, where his father had moved in 1914. the care and training of crippled children, died on March 3 He soon established himself as a very competent general at the age of 83. Many who benefited by her help and practitioner and was appointed surgeon to the local cottage encouragement and the training she was able to provide will hospital, in which, from the time of his appointment until feel a sense of personal loss by her death. From the time shortly before his death, he was responsible for a large pro- of her own girlhood the sight of the neglected poor, the portion of the emergency surgical work. He was also lec- blind, and the crippled child had inspired in her a feeling turer to the local branch of the British Red Cross Society of deep compassion and a longing to help. The Heritage and medical officer to most of the schools in the district. He Craft Schools and Hospitals at Chailey, in Sussex, although is survived by his widow, a son, who is a doctor, and a now incorporated in the National Health Service, is a fit- daughter, who is a trained nurse. ting memorial to her and to the work she undertook so J. F. S. writes: Dr. C. B. Cohen, known to a large circle willingly, work which was spread over two generations. of friends as Charles, will be badly missed, as he was a very She was the founder of the schools, a'nd the children received conscientious doctor, nothing ever being too much trouble: from her all the devoted and loving care that could be he was always available and good at relieving the anxieties desired. Dame Grace Kimmins opened the first hospital of relations. These were his great characteristics his com- school for cripples at Chailey in 1903, but such an establish- petence and his conscientiousness-and he will long be ment must have been in her mind much earlier when, in remembered in Oxted and Limpsfield for them. 1894, she convened a meeting which resulted in the founda- tion of the Guild of Brave Poor Things. It was from the boys were drawn to become the first inmates Dr. U. W. N. MILEs died at his home at Bewdley on guild that seven and the borough has lost a well- at Chailey, and they were housed in old buildings alreadv February II at the age of 82, condemned. Forty years later the school was accommodat- loved figure and a doctor of the old school. Born at Farn- This 22, 1872, Usher William ing more than 500 boys and girls in modern buildings. worth, Lancashire, on January magnificent result was achieved through the remarkable Newton Miles was the son of a country parson. After leav- woman. In her work she ing Rossall School he became a student at King's College determination of a remarkable M.R.C.S., L.R.C.P., had the whole-hearted support of her husband, Dr. C. W. Hospital, London. In 1896 he qualified Kimmins, whom she married in 1897, and who was chief having been trained by such men as Burney Yeo, Rose, Car- London After holding resident appointments inspector of the education department of the less, and Frederick Silk. County Council from 1904 to 1923 and deputy vice- at various hospitals he became assistant to his uncle, H. L. he died in 1948. where he remained until he bought chancellor of London Universitv in 1933-4; Miles, at Kidderminster, The work at Chailey received support from people in all a Bewdley practice in 1901. From that date until his retire- It had the approval was in practice, cotupling with it walks of life, from royalty downwards. ment in 1946 he general and encouragement of the late Queen Mary, and other mem- the appointments of medical officer of health of the borough, the with 45 years, and honorary anaesthetist at the bers of the Royal Family have honoured school a post he held for their patronage. Dame Grace Kimmins was appointed Kidderminster and District General Hospital, an appoint- four ment which spanned the vears 1917 to 1946. Being a man C.B.E. in 1927 and promoted Dame Commander of broad mind and wide interests, Dr. Miles did not let him- years ago. self get into a rut of professional life. For a time he was interested in the Church Lads' Brigade, and in 1909 he Dr. JAMES BRYAN HERRICK, the distinguished American started the Boy Scout movement in Bewdley, remaining cardiologist, died in Chicago on March 7 in his ninety-third an active scouter until 1914. At the end of the first world war year. He was born at Oak Park, Ilinois, and spent four he was made president of the newly formed local associa- vears as a school teacher before beginning an association 766 MARCH 27, 1954 OBITUARY MILMSHUR with Rush Medical College which lasted from 1886 until his soon as it was injected, the plaintiff contended, the death. He graduated in medicine at Rush in 1888, and plaster ought to have been removed. Although the arm served as instructor in medicine (1890-4), adjunct professor swelled that evening and was extremely painful, the plaster (1894-1900), professor (1900-27), and finally professor was not removed until another doctor arrived at 11.30 the emeritus. He was attending physician at the Presbyterial) next morning and advised its removal at once. The damage Hospital, Chicago, from 1895 until he died. In 1910 Herrick had then been done. was the first to describe sickle-cell anaemia, which he had The bones were said to have been set out of alignment, observed in a negro six years before. In 1912 he published so that when Mr. Peters saw an orthopaedic surgeon in what has become a classical account of coronary throm- May, 1949; the arm had to be plated permanently in that bosis with myocardial infarction, diagnosed during life; he position. Everybody agreed that the hand was now com- also showed that sudden coronary occlusion need not always pletely useless and that Mr. Peters would be better off terminate fatally. Besides making numerous contributions without it. to the periodical literature, he was the author of a Hand- Heroic Measures book of Medical Diagnosis (1895), A Short Historv of Cardiology (1942), and an autobiography, Meitmories of Giving evidence for R. G. Odell, Ltd., and the plaintiff. Eighty Years (1949), which reflects the kindness, sympathy, Sir Hugh Griffiths, consultant surgeon, said it was impru- and leadership which made him such an outstanding teacher. dent to leave the plaster on the fractured arm after the He was founder and first president of the Chicago Society injection of heparin. In his view, by the time the plaster of Medicine, president of the Institute of Medicine of was removed much of the muscle fibre was already dead. Chicago, and, in 1927, president of the American Heart Certain orthopaedic treatment might have prevented some Association, which presented him with the Gold Heart Award of the deformity, but it was impossible to say that any in 1951. He was also awarded the Kober Medal of the useful function could have been restored. He did not think Association of American Physicians in 1930 and the Distin- the condition of Mr. Peters's arm could have been brought guished Service Medal of the American Medical Associa- about by arterial spasm following the fracture itself. He tion in 1939. Circlulation, the journal of the American agreed that the crisis caused by the injection into an artery Heart Association, published a special number in honour called for " heroic measures." The surgery on the right arm of Herrick in 1950. A tribute he paid to Nathan Smith Davis was brilliant. In the circumstances, he did not think the might equally have been said about himself: " Men succeed failure to remove the plaster was negligence, though it was because of native ability and in small measure because of an error of judgment. He also agreed that the malalignment chance, but chiefly through hard work, through a knowledge of the bones occurred some days after the operation and of their special vocational subject, and through their ability was not the result of faulty work by Mr. Temple. this Dr. 0. H. Belam, a consultant anaesthetist, said in evi- to apply knowledge." dence that no competent anaesthetist should inject thio- pentone into an artery if he was careful. Mr. St. John Dudley Buxton, consultant in or:hopaedic Medico-Legal surgery, gave evidence on behalf of the management com- mittee. His opinion was that the condition of Mr. Peters's arm was due partly to arterial spasm following the original INJECTION INTO ARTERY blow and partly to manipulation of the bone in setting. No one could say to what degree one factor or the other Fulham and Kensington Hospital Management Committee was responsible for the condition. He considered that in the Queen's Bench Division on March 18 accepted everything necessary to produce ischaemic contracture was liability for negligent treatment of a patient's fractured present in the arm before the anaesthetic injection was left forearm at Fulham Hospital in 1948. Mr. Justice Pearce given and the arm was placed in plaster. awarded £8,254 damages, with costs, to the patient, Mr. Ernest Sidney Peters, a 50-vears-old Thames waterman and Parties Come to Terms lighterman. Mr. Peters's complaints were that during an operation for At a resumed hearing Mr. Gerald Gardiner, Q.C., for the resetting the arm the anaesthetist, Dr. M. R. Rifaat, injected plaintiff, told his lordship that the parties had come to thiopentone into an artery instead of a vein; when a terms. He said: "When something goes wrong in a hos- remedial injection of heparin caused swelling of his lft pital it is not easy for the patient to tell what has gone arm the plaster cast was not removed until too late, causing wrong, and naturally he can only place the blame where the onset of Volkmann's ischaemic contracture; the frac- he sees it. In these circumstances, apart from allegations ture was set in the wrong position; and all these matters made against the anaesthetist and others who later treated were concealed from him, thus depriving him of an oppor- my client, he also complained that the surgeon. Mr. Temple, tunity to seek other medical advice. who manipulated the limb under an anaesthetic, should, Mr. Peters also sued Mr. J. L. Temple, surgical registrar in view of an injection of heparin, have at once removed at the hospital in 1948, who was in charge of the operation, the plaster. Having had an opportunity of hearing the evi- and R. G. Odell, Ltd., of Walton Bridge, Shepperton, dence which has so far been given, I should like to withdraw Middlesex, owners of the Thames barge Magpie, on, that allegation." The hospital management committee had which he was working a winch when his arm was fractured. accepted liability for everything the plaintiff had suffered, Both these defendants were dismissed from the suit without including the original injury by the winch. His lordship costs. would be asked, however, to assess the damages which Mr. Peters's case was that he suffered a fracture of the should be paid to Mr. Peters. left radius on October 12, 1948. The same evening Mr. Commenting that this was a very just result, the judge Temple was in charge of an operation for setting the arm assessed damages at £6,000 in addition to special damages at Fulham Hospital. Mr. Peters was given an injection of of £2,254. thiopentone in his right arm, but during the operation it The Medical Defence Union instructed Messrs. Hempsons, was discovered that the anaesthetist, Dr. Rifaat, had injected solicitors, to act for Mr. Temple. into an artery instead of a vein. As the effect of thiopentone was to coagulate the blood there was a danger of thrombosis developing and a crisis was created. Mr. Temple recollected RETICENT HOSPITAL reading an article describing what should be done in such a situation. He sent for the article, and, following its advice, Recently a patient claimed damages from a hospital manage- the patient was injected with heparin. The heparin accen- ment committee and house-surgeon for injuries received tuated the bleeding around the muscles of the left arm when a hypodermic needle broke in his back during a caused by the manipulation of the bones in setting. As lumbar puncture examination. The defendants contended