Never Judge A Book By Its Cover: Nor Any People! 41st Annual Seminar of The American Academy of Cardiovascular Perfusion February 5 – 8, 2020 Grand Sierra Resort Reno, Nevada Compiled By: Steven W. Sutton, L.P., C.C.P. ▪ One should not form an opinion on someone or something based purely on what is seen on the surface, because after taking a deeper look, the person or thing may be very different than what was expected. ▪ This “Idiom” means to judge not by the looks. It goes back to at least the mid-19th century. It makes an appearance in the newspaper Piqua Democrat, June 1867 Piqua, Ohio: “Don’t judge a book by its cover, see a man by his cloth, as there is often a good deal of solid worth and superior skill underneath a jacket and yaller pants.” ▪ The Greatest Nation On Earth ▪ We “All” Must Contribute To Eliminating Racism – It Begins With Each Of Us! ▪ “African people in America have lost our history. In many cases it’s been taken away from us. ▪ But the problem … even more pervasive … is that we’ve lost our taste to learn our history Dr. Burnie ▪ History exposes past accomplishment, Gallman so “we don’t have to recreate” the wheel. “All we have to do is respect and study our ancestors and build upon what they did.” ▪ Dr. Evans was born June 23, 1872, in Aiken and was a Schofield graduate who attended Oberlin College in Ohio on scholarship and the Women’s Medical College of Pennsylvania, where she received her M.D. in 1897. ▪ Some people are worthy to be known for their continuity Matilda Evans, of struggle and example of achievement. One such M.D. person is Dr. Matilda Evans, the first Black female physician in South Carolina. Matilda Evan’s and her Home ▪ She practiced Obstetrics, Gynecology, and Surgery. In 1901, she established Taylor Lane Hospital, the first Black hospital in Columbia, S.C. ▪ When the hospital was destroyed by fire, she started St. Luke’s Hospital and School of Nursing. ▪ She founded the Good Health Association of South Carolina to educate people about preventive health practices and safe, sanitary habits. Matilda Evans in the operating room of Taylor Lane Hospital, the hospital she founded in 1901 Courtesy of South Caroliniana Library, ▪ She provided a free clinic for Black children University of South Carolina, Columbia needing medical treatment and vaccinations. ▪ Charity, compassion, and a love of children were the hallmarks of her career ▪ She charged only nominal fees, riding bicycles, horses and buggies to visit the sick who were unable to go to her for surgery ▪ She provided for school physical examinations and immunizations, which in turn saved the lives of countless young children ▪ In 1930, operated a clinic that was free for African-American children who needed medical treatment and vaccinations ▪ Incredibly she also found the time to raise 11 children who needed a home, Many of the children she became a mother to were children who were left at her practice, but she also brought up five children from relatives who were deceased ▪ She never married, at the age of 63, on November 17, 1935, Matilda Evans with a community group in front Matilda Arabelle Evans died in Columbia, South Carolina of St. Luke's hospital, Columbia, South Carolina, ca. 1930 Courtesy of South Caroliniana Library, University of South Carolina, Columbia ▪ 1864 Rebecca Davis Lee Crumpler is the first African- American woman to earn a medical degree. ▪ Crumpler established a medical practice in Boston for Rebecca Davis poor women and children. Crumpler also received training Lee Crumpler, in the “British Dominion.” M.D. ▪ She was also the first African-American to publish a text concerning medical discourse. The text, A Book of Medical Discourses was published in 1883. ▪ Mary Mahoney became the first black woman to complete nurse's training in 1879 ▪ She was admitted to the nursing school of the New England Hospital for Women and Children ▪ She was also one of the first black members of the American Nurses Association ▪ Has been credited as one of the first women to register to vote in Boston following the ratification of the 19th Mary Mahoney Amendment in 1920 ▪ Mahoney was inducted into both the Nursing Hall of Fame and the National Women's Hall of Fame. She died in Boston in 1926. ▪ Led the fight to eradicate the deadly toll of heart disease and strokes in the United States. Cooper became the first African-American elected president of the American Heart Association ▪ After attending Pennsylvania’s Lincoln University, he went to Meharry Medical College, from which he graduated—again first in his class—in 1949 ▪ He decided to specialize in cardiology and related problems Edward Sawyer such as strokes, because of an incident that occurred during Cooper, M.D. his internship at Philadelphia General Hospital ▪ A patient of his, a woman under 40 years of age, became greatly debilitated by a series of small strokes. He was saddened by the sight of someone so young being stricken by circulatory disease in her prime and “was determined to do something about the problem” ▪ Awarded a full scholarship to Harvard University graduating with honors as the first African American student at Harvard from Delaware ▪ Received his M.D. from State University of New York Downstate Medical Center, internship at the University of California San Francisco Medical Center, Internal Medicine residency at the Los Angeles County-USC Medical Center, and Cardiology fellowship at Harvard Medical School and Brigham and Women’s Hospital in Richard Allen Boston Williams, M.D. ▪ Founded the Association of Black Cardiologists (ABC) in 1974 and served as its president for 10 years ▪ He also became the first chairman of the Board of Directors ▪ Harlem Hospital, New York ▪ 1943, the first woman to operate on a human heart in only the ninth such operation (possibly a PDA Ligation) of its kind anywhere in the world Myra Adele ▪ First African American woman elected a fellow of the Logan, M.D. American College of Surgeons Overcame Racial Segregation ▪ Laboratory supervisor who developed the Blalock- Taussig-Thomas Shunt to palliatively treat blue baby syndrome in the 1940’s ▪ Assistant to surgeon Alfred Blalock in the experimental animal laboratory at Vanderbilt University and later at the Johns Hopkins University ▪ Served as supervisor of the surgical laboratories at Johns Vivien Thomas Hopkins for 35 years An Unknown ▪ 1976 Hopkins awarded him an honorary doctorate and named him an instructor of surgery for the Johns Hopkins African-American School of Medicine Hero ▪ Thomas rose above poverty – racism – segregation to become a cardiac surgery pioneer and teacher of “The Carpenter” operative techniques to many of the country's most prominent surgeons • He understood Helen Taussig’s Idea • It took two years • 200 dogs to develop a safe and satisfactory experimental surgical procedure Vivien Thomas and assistants operating at Vanderbilt University, 1930’s “Vivien Thomas and assistants operating on laboratory dog at Vanderbilt University,” The Sheridan Libraries and Museums First used during World War II to treat critical injuries, albumin, processed from human plasma, has been safely used for more than 50 years to treat critically ill patients by replacing lost fluid and maintaining adequate blood volume and pressure. Today albumin also is used in cardiac surgery, heart valve repair and replacement, and to treat hemorrhagic shock. Courtesy of the National Museum of Health and Medicine, Armed Forces Institute of Pathology, Washington, D.C. ▪ He was born in New Iberia, Louisiana August 29, 1910 ▪ The grandson of a slave and son of a carpenter, Vivien Thomas attended Pearl High School in Nashville, and graduated with honors in 1929 ▪ In the wake of the stock market crash in October, 1929 he secured a job as a laboratory assistant in 1930 with Dr. Blalock at Vanderbilt ▪ Together they conducted groundbreaking research into the causes of hemorrhagic and traumatic shock which saved the lives of thousands of soldiers on the battlefields during World War II “Helen Taussig, examining small girl in wheel chair, circa 1947,” The Sheridan Libraries and Museums ▪ 1943, Blalock was approached by renowned pediatric cardiologist Dr. Helen Taussig, who was seeking a surgical solution to a complex and fatal congenital heart defect, Tetralogy of Fallot (also known as blue baby syndrome, although other cardiac anomalies produce blueness, or cyanosis) ▪ Vivien was charged with the task of first creating a blue baby-like condition (cyanosis) in a dog, then correcting the condition by means of the pulmonary-to-subclavian anastomosis. In nearly two years of laboratory work involving some 200 dogs, demonstrated that the corrective procedure was not lethal, thus persuading Blalock that the operation could be safely attempted on a Left: Crosby, Ranice W., “Sketch,” The surgical treatment of malformations of the heart in which there is pulmonary stenosis or pulmonary atresia. human patient. Procedure used. The Sheridan Libraries and Museums Right: Anna was the first survivor of the pioneering procedure which was later named the Blalock-Taussig-Thomas procedure or the Blue Baby Operation Portrait of Anna the dog by DeNyse W. Turner Pinkerton, 1951. Alfred Blalock, M.D., 1899-1964. Portrait by Yousuf Karsh, 1950. ▪ During this first procedure in 1944, Thomas stood on a step-stool behind Blalock coaching him. When the procedure was published in the May 1945 issue of the Journal of the American Medical Association, Blalock and Taussig received sole credit for the Blalock-Taussig shunt. Thomas received no mention and, in Blalock’s writings, he was never credited for his role. “Something ▪ Thomas' surgical techniques included one he developed in 1946 for improving circulation in patients whose great The Lord Made” vessels (the aorta and the pulmonary artery) were transposed.