Dr. Roberts Bartholow: “Strange Child of Genius” of Neurology

Total Page:16

File Type:pdf, Size:1020Kb

Dr. Roberts Bartholow: “Strange Child of Genius” of Neurology Page 8 Volume 10, No. 2 Spring 2017 for his human experimentation, but there is no Bartholow, Roberts. A Practical Treatise on Materia question in the medical community as to the Medica and Therapeutics. 5th ed. New York: D. importance of Bartholow’s findings and innovation Appleton and Company, 1884. in neuroscience. However, his methods continue to Bartholow, Robertsus. “Calori Animali.” University of spark debate. Almost a century and a half later, Maryland Theses 1852. Baltimore: The Medical Heritage Library. scholarly articles about Bartholow’s experiment on Bartholow, Roberts. “The Physiological Aspects of Mary Rafferty are still being published. The 2015 Mormonism, and the Climatology, and Diseases of American Medical Association Journal of Ethics Utah and New Mexico.” The Cincinnati Lancet and succinctly summarized the controversy that is Observer. 10:4 (April 1867): 193-205. relevant today: “Technological Innovation and Cambiaghi, Marco, and Stefano Sandrone. “Pioneers in Ethical Response in Neurosurgery.” Neurology: Robert Bartholow (1831-1904).” Journal Dr. Roberts Bartholow: “Strange Child of Genius” of Neurology. 261 (2014): 1649-50. By Sharon Burleson Schuster Bartholow’s weapons in war and civilian life were a Devilbiss, Frank J. “History of New Windsor, Maryland.” sense of superiority, logic, inquisitiveness, and The Carroll Record. May-July 1895. History of Neurosurgery in Cincinnati. Cincinnati: The ruthlessness. At the time of his death, his Materia An unassuming headstone in the New Windsor Associate Reformed Presbyterian Church cemetery reads simply, Mayfield Clinic, 2009. Medica was in its eleventh printing. He dedicated his “Roberts Bartholow, M.D., LL.D., 1831-1904.” The dash between his birth and death represents 73 years of notable Juettner, Otto. Daniel Drake and His Followers: accomplishments, a remarkable medical career, important discoveries, and a dark side to one of medical history’s most world-acclaimed book “To the Memory of Father, Historical and Biographical Sketches. Cincinnati: brilliant stars. The life of Dr. Roberts Bartholow was a strange journey that began in New Windsor. The stellar student, Mother and Brothers by The Survivor.” Harvey Publishing Co., 1909, 260-67. acclaimed physician, political activist, and assistant Civil War surgeon tangled with Indians and Mormons in the West, Menon, Jayant, and Daniel J. Riskin. “Technological police in the East, and in the end, with his own demons. Bartholow died at his home in Philadelphia at age Innovation and Ethical Response in Neurosurgery.” 72. He returned to his native New Windsor in a pine AMA Journal of Ethics 17:1 (January 2015): 62-8. box. Some might say he is “at rest” within the ornate Warner, Nancy M., Ralph B. Levering, and Margaret was a year of firsts and noteworthy iron gates of the church graveyard. Others claim his Taylor Woltz. Carroll County, Maryland: A History, 1892 events in America. The first voting restless spirit haunts the village of New Windsor. 1837-1976. Westminster, Md.: Carroll County machine was unveiled as were the electric clothes When a “psychic sensitive” employed to investigate Bicentennial Committee, 1976. dryer, escalator, bottle cap, and toothpaste tube. The activity in the graveyard laid hands on Bartholow’s Reds beat the Cards 5 to 1 in the first Sunday headstone, she was startled by the negative “vibes” About the Author: Sharon Burleson Schuster is a 30-year veteran National League baseball game. Arthur Conan Doyle that she received and shouted out the words that writer, photojournalist and columnist with local and national published The Adventures of Sherlock Holmes. The came to her, “They didn't understand!” publications including The Carroll County Times, Lancaster Farming, Country Woman Magazine, Antique Week, and more. She is author of Pledge of Allegiance was first recited in public The History of Greenwood Church, New Windsor, Maryland, and schools on Columbus Day. Ellis Island became a Spirited Tails and Legends of New Windsor, Maryland. She is a reception center for new immigrants. Grover Selected Sources: member and past president of New Windsor Heritage. Sharon retired as an educator of 30 years in Maryland public schools and served as Cleveland was elected President. an adjunct instructor for Western Maryland College. The author raises Bartholow, Roberts. “Experiments on the Functions of the sheep on her New Windsor farm, The Deeps, which has been in her There were also strange occurrences in 1892. It was Human Brain.” The British Medical Journal. May 30, family for four generations. a Leap Year, consisting of 367 days with two fourth- 1874, 727. of-July dates on the calendar, owing to the alteration Bartholow, Roberts. Medical Electricity: A Practical The Publications Committee welcomes your comments on this article Treatise on the Applications of Electricity to and past Carroll History Journal articles to assist us in determining the of the International Dateline by Samoa. The New Medicine and Surgery. 3rd ed. Philadelphia: Lea best topics for our readers. Please send all comments to the editor at York Times reported “the most wonderful exhibition Brothers & Co., 1887. [email protected]. Thank you. of the aurora, or northern lights, possibly ever seen from American soil.” While the heavens were illuminated with a rose-red aurora, one of medical PUBLICATION COMMITTEE MEMBERS: history's most brilliant lights went dim. Dr. Roberts Bartholow, Professor and Dean of Faculty, © 2017 Jefferson Medical College, c.1890. (Photograph by The Historical Society of Carroll County, Maryland, Inc. Frank J. Batavick, editor Frederick Gutekunst, U.S. National Library of Medicine) 210 East Main Street Roberts Bartholow was at the zenith of his career a Mary Ann Ashcraft Westminster, Maryland 21157 dozen or so years before his world collapsed in 1892. Samuel T. Brainerd Phone: 410-848-6494 Fax: 410-848-3596 The fourth edition of his 738-page Materia Medica teaching style. He was said to be “a bomb-shell in Eleanor S. Darcy Email: [email protected] Website: www.HSCCmd.org and Therapeutics was published world-wide in the Academy of Medicine where the old fogies used James E. Lightner 1881. His credentials spread across the title page: simply to relate their case and expressed their Sharon B. Schuster “Roberts Bartholow, M.A., M.D., LL.D., Professor opinions.” Catherine E. Baty, Curator of Collections of Materia Medica and General Therapeutics in the Jefferson Medical College of Philadelphia, ETC.” However, despite his eminence, the Cincinnati Gainor B. Davis, Executive Director The hefty reference book was even translated into Enquirer carried this headline about him on James E. Lightner, Chair, Board of Trustees Japanese. Newspaper accounts of 1892 acclaimed his February 18, 1892: “HE LOST HIS MIND.” Page 2 Page 7 The Early Years nervous strain that his entire system was informed that the doctor was traveling for his shattered and that he was rapidly going to health.” His wife and unmarried daughters went on Roberts Bartholow's grandfather, Thomas pieces. It was even intimated that he had with their lives. The Philadelphia Inquirer ran a Bartholome, was born in Holland c.1730 and sought the use of powerful drugs and tonics to notice in “General Society Notes” advising that emigrated to the United States at age 16. According brace himself up. Then strange and erratic “Miss Bartholow and the Misses Bartholow, No. to a granddaughter, he pronounced his name “Bar- actions were committed by this doctor. 1525 Locust Street, receive Thursdays from 4 to 6.” thol- may,” but descendants spell and pronounce it “Bartholow.” Roberts Bartholow, son of Jeremiah The Cincinnati Enquirer reported his diagnosis as His Legacy and Pleasant (Peddicord) Bartholow, was born in “monomaniac on obtaining eminence as a physician. New Windsor on November 18, 1831, and raised . The oldest and most celebrated medical writer of On Sunday, January 29, 1893, The Chicago Tribune near Hampstead. Jeremiah was among the first the age,” Bartholow was considered “the hardest ran an item in the “Personals” column on page 28: trustees of the Methodist church in New Windsor, worker ever known in the medical profession. The “Dr. Roberts Bartholow, the eminent professor of built in 1843. form of his insanity is known in the profession as Jefferson College, Philadelphia, who became insane paranoia, a form of dementia or delirium.” A some two years ago from hard study and overwork, Historian Otto Juettner presents Roberts Bartholow Calvert College, New Windsor, c.1850. (Courtesy New Windsor colleague, Dr. Whittaker, proclaimed that Bartholow has recovered his mental balance.” Yet records of the as a person of “peculiar make-up.” His “frigid Heritage) “was the only man he ever saw who really was over- last decade of his life are void of medical dignity, chilly reserve, and uninviting manner” worked.” The Philadelphia Inquirer carried the discoveries, public accolades, and active engagement accounted for his stance in life, a man who “never report of “specialists in insanity cases” who stated, at Jefferson Medical College where he retained his had an intimate friend or even a close associate . young scholar also served as assistant instructor of “He is 59 years of age, but in appearance is now 70. status as Professor Emeritus. cynicism and sarcasm stood during his whole life chemistry. A most pathetic feature of the lamentable case is that between the man and the world at large.” He was the hallucinations took the form of a violent Dr. Roberts Bartholow left a controversial legacy of also characterized as “a peerless wielder of the The 1850 Federal Census of Hampstead, Carroll prejudice against his wife, an exemplary woman of unethical experimentation and discovery that pen.” The Cincinnati Enquirer described Bartholow County, lists “Robert” Bartholow as a “student” of rare delicacy and feeling, refinement and culture.” nevertheless led to modern-day techniques in as one of “average height, stout build, reserved in Dr. Thomas Wells, living with him, his wife Juliann, Bartholow countered with, “Any statement that I am neurological surgery.
Recommended publications
  • Roberts Bartholow: the Progenitor of Human Cortical Stimulation and His Contentious Experiment
    NEUROSURGICAL FOCUS Neurosurg Focus 47 (3):E6, 2019 Roberts Bartholow: the progenitor of human cortical stimulation and his contentious experiment Devi P. Patra, MD, MCh, MRCSEd,1,5,6 Ryan A. Hess, BSE,1,5,6 Karl R. Abi-Aad, MD,1,5,6 Iryna M. Muzyka, MD,4 and Bernard R. Bendok, MD, MSCI1–3,5,6 Departments of 1Neurological Surgery, 2Otolaryngology, 3Radiology, and 4Neurology, 5Precision Neuro-therapeutics Innovation Lab, and 6Neurosurgery Simulation and Innovation Lab, Mayo Clinic, Phoenix, Arizona Roberts Bartholow, a physician, born and raised in Maryland, was a surgeon and Professor in Medicine who had previ- ously served the Union during the Civil War. His interest in scientific research drove him to perform the first experiment that tested the excitability of the human brain cortex. His historical experiment on one of his patients, Mary Rafferty, with a cancerous ulcer on the skull, was one of his great accomplishments. His inference from this experiment and proposed scientific theory of cortical excitation and localization in humans was one of the most critically acclaimed topics in the medical community, which attracted the highest commendation for the unique discovery as well as criticism for possible ethical violations. Despite that criticism, his theory and methods of cortical localization are the cornerstone of modern brain mapping and have, in turn, led to countless medical innovations. https://thejns.org/doi/abs/10.3171/2019.6.FOCUS19349 KEYWORDS Roberts Bartholow; human cortical mapping; brain localization; Mary Rafferty; cortical excitability; history of brain mapping Perhaps a corpse would be reanimated; galvanism had given tion of “living” animals was attempted by Luigi Rolando tokens of such things: perhaps the component parts of a crea- in 1809 and by Hitzig and Fritsch in 1870.34,42 However, ture might be manufactured, brought together and endued with it was in the late 19th century when functional mapping vital warmth.
    [Show full text]
  • Experiment at Bedside : Harvey Cushing’S Neurophysiological Research*
    醫史學 제18권 제2호(통권 제35호) 2009년 12월 Korean J Med Hist 18ː205-222 Dec. 2009 醫史學 제18권 제2호(통권 제35호) 2009년 12월 Korean J Med Hist 18ː89­106 Dec. 2009 ISSN 1225-505X ⒸⒸ大韓醫史學會大韓醫史學會 ISSN 1225-505X Experiment at Bedside : Harvey Cushing’s Neurophysiological Research* Ock-Joo KIM** Table of content 1. Cushing and surgical experimentalism 2. Innovative experimental operation on the pituitary 3. Experiment inseparable from treatment: trigeminal nerve experiment 4. Experiment on the operating table – localization of the sensory cortex 5. Identity, ethos, and human experimentation Often regarded as the founder of neurosurgery in stood at the center of the twentieth-century America, Harvey Cushing developed neurosurgery transformation of American medicine. Born in as a specialty during the early twentieth century.1) Cleveland, Ohio in 1869, Cushing received his A product of the reform of medical education medical education at the Harvard Medical School, during the late nineteenth century in America, he from 1891 to 1896.2) He then began a residency at * This work was supported by the Korea Research Foundation Grant funded by the Korean Government (KRF-2009-371-E00001). ** Department of History of Medicine and Medical Humanities, Seoul National University College of Medicine 1) Cushing has been commemorated as the pioneer of neurosurgery in America. For the life of Harvey Cushing, see E. R. Laws, Jr. Neurosurgery's Man of the Century: Harvey Cushing – the man and his legacy. Neurosurgery 1999;45:977-82; S. I. Savitz. The pivotal role of Harvey Cushing in the birth of modern neurosurgery. the Journal of the American Medical Association (JAMA) 1997;278:1119; R.
    [Show full text]
  • Dr. Rajneesh Kumar Sharma MD (Hom)
    2013 A TREATISE ON NEOCORTEX AND ITS FUNCTIONS IN CONTEXT OF PRINCIPLES OF Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy A TREATISE ON NEOCORTEX AND ITS FUNCTIONS IN CONTEXT OF PRINCIPLES OF HOMOEOPATHY 1 Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy 2 Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy A TREATISE ON NEOCORTEX AND ITS FUNCTIONS IN CONTEXT OF PRINCIPLES OF HOMOEOPATHY By Dr. Rajneesh Kumar Sharma MD (Hom) 3 Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy A TREATISE ON NEOCORTEX AND ITS FUNCTIONS IN CONTEXT OF PRINCIPLES OF HOMOEOPATHY By Dr. Rajneesh Kumar Sharma MD (Hom) Homoeo Cure & Research Institute NH- 74, Moradabad Road Kashipur (Uttarakhand) Pin- 244713 INDIA First Edition 2013 4 Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy Dedication Dedicated To my parents- who dreamt up me! To my family- that sustained me! To my collegues and friends- who shored up me! & To Homoeopathy- which coddled me! cosseted & dissolved me into it! 5 Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy Dr. Christian Friedrich Samuel Gottfried Hahnemann, German physician, Founder of Homeopathy Born: April 10th, 1755, 11.55 PM Meissen Died: July 02nd, 1843, 5.00 AM Paris 6 Dr. Rajneesh Kumar Sharma MD (Hom) A Treatise on Neocortex and its Functions in context of Homoeopathy Acknowledgement I am extremely grateful to Padm Shree Dr.
    [Show full text]
  • Thomas, R. K., & Young, C. D. (1993). a Note on the History of Electrical
    The Journal of General Psychology, 120(1), 73-81 Erratum: In the Abstract (line 6) the phrase "especially of footnote 16 in Hltzig's (1870) report'' is incorrect. The phrase should be "especially of footnote 16 pertalning to Hltzig's (1870 report". A Note on the Early History of Electrical Stimulation of the Human Brain ROGER K. THOMAS CHERYL DONALDSON YOUNG Department of Psychology University of Georgia ABSTRACT. We address inconsistencies in two areas concerning who was first to electrically stimulate a human's brain. First, Boring (1950) and others attributed priority to Eduard Hitzig based on information mentioned somewhat incidentally in Fritsch and Hitzig's (1870) classic work using dogs. Others cited Fritsch and Hitzig but attributed priority to Roberts Bartholow (1874). Second, our examination of translations of Fritsch and Hitzig, especially of footnote 16 in Hitzig 's report ( 1870) of a human case, revealed errors, omissions, and inconsistencies. To aid our inquiry, we requested and received new translations of footnote 16 and of Hitzig's report. THIS NOTE ORIGINATED in our discoveries of sonie interesting inconsist­ encies in the literature associated with who was first to electrically stimulate a human's brain. These inconsistencies divide approximately into two cate­ gories. The first category concerns Fritsch and Hitzig's (1870) article on electri­ cal stimulation of the dog's brain, a classic in neurophysiology. Based, most likely, on his own reading of this classic work, E. G. Boring ( 1950) wrote: This famous joint experiment originated in Hitzig's observation that the electri­ cal stimulation of the cortex of a man, [italics added] led to movement of the eyes.
    [Show full text]
  • Engineering in Brain Research, from the Development of Instrumentation, to the Analysis of Recorded Signals, to the Modelling of Brain Function
    E GINEERI GIN RAIN RES ARCH Processing Electroencephalograms and Chaos in Neural Networks A thesis presented for the degree of Doctor of Philosophy in Electrical and Electronic Engineering at the University of Canterbury, Christchurch, New Zealand. November 1992. Alison A. Dingle B. E. (Hans 1) ABSTRACT The structure and function of the brain, as it is presently understood, is outlined. The importance of technology in acquiring this knowledge is illustrated by tracing the history of brain research, and the contributions that engineering is currently making to brain research are discussed. The manifestation of epilepsy in recordings of the electrical activity of the brain - elec­ troencephalograms (EEGs) is outlined. A new PC-based system for the automated de­ tection of this epileptiform activity is presented. The system consists of three stages: data collection, feature extraction and event detection. The feature extraction stage detects candi­ date epileptiform transients on individual channels, while an expert system is used to detect focal and non-focal epileptiform events. Considerable use of spatial and temporal contextual information present in the EEG aids both in the detection of epileptiform events and in the rejection of artifacts and background activity as events. Classification of events as definite or probable overcomes, to some extent, the problem of maintaining satisfactory detection rates while eliminating false detections. Test results are presented whlch indicate that this system should be capable of performing reliably in routine clinical EEG screening. Neural networks are introduced and their application to real-world problems examined. In particular, the application of back-propagation neural networks to the detection of epilep­ tiform transients is discussed.
    [Show full text]
  • Landmark Discoveries in Neurosciences
    GENERAL ¨ ARTICLE Landmark Discoveries in Neurosciences Niranjan Kambi and Neeraj Jain The study of the basis of mental phenomena or the mind has always intrigued humans. Our current understanding of the functioning of the brain is the result of insightful research by many scientists, which has led to a detailed knowledge of brain structure and how this structure makes it possible for (left) Niranjan Kambi is a senior graduate student at the mind to emerge from it. National Brain Research Centre, Manesar, 1. Early Ideas About the Mind and Matter Haryana. He is interested in understanding how the As far as the recorded history goes, humans have wondered about brain enables organisms to the nature and basis of our own existence. Early thinkers seem to exhibit complex behaviour have realized that before they can answer the question ‘Who am such as sensoryperception, I?’, they had to understand the origin of the thought process itself. voluntary movement, and decision making. They had to understand what is mind, and if it is different from the body. Gautam Buddha, as early as 500 BC, proposed that mental (right) Neeraj Jain is a scientist at National Brain life is causally interconnected with matter. This view was radi- Research Centre, Manesar, cally different from that prevailing in the Vedic philosophy, Haryana. His primary which had existed for more than a thousand years. research work is on information processing in In Western philosophy, the history of ideas about the mind started the touch and the with the notion of duality; there are two fundamental kinds of movement systems of the brain, and how spinal cord substances: mental and material.
    [Show full text]