harvey cushing: a life in surgery

harvey cushing: a life in surgery

He sees a Cushing biography as a sequel to the Osler biography: “Each would stand alone, but together the two volumes would be a biographical study of the rise of North American medicine and surgery.”, Oxford University Press, £23.99/$40, pp 608 ISBN 0 19 516989 1, Bliss's biography of Cushing revolves around several metaphors. As Bliss writes, “In the first decade of the twentieth century, Harvey Cushing became the father of effective neurosurgery. Prime. New York: Oxford University Press. Cushing was aware of the centrality of his contribution to neurosurgery, but shunned celebrity—he demurred press coverage of his operations and publicly downplayed his status and achievements. In 1912, Cushing implanted a pituitary from a newly deceased baby into the temporal lobe of a patient whose pituitary had been obliterated by a cyst. Buy Harvey Cushing: A Life in Surgery by Michael Bliss (ISBN: 9780802089502) from Amazon's Book Store. Ineffective neurosurgery had many fathers.” From his return to Hopkins in 1901, to his successful removal of a tumor from the cerebral cortex of a completely conscious patient in 1908, Cushing single‐handedly brought the field of neurosurgery from the stone age to a praxis that closely resembles neurosurgery as performed today. Harvey Cushing : a life in surgery. During this time, he was also likely afflicted with Guillain‐Barre syndrome and worsening Buerger's disease (Cushing was a chronic smoker); upon his return to America, he would never be the same physically. Cushing achieved this through a combination of skill and hard‐driving intellect. Harvey Cushing: A Life in Surgery is a thorough, thoughtful study that opens a window on Cushing's personality and accomplishments without descending into the hagiography that weakened earlier biographies of Cushing, such as Harvey Cushing: A Biography (1946) by Cushing's disciple and Yale physiologist, John Fulton. and you may need to create a new Wiley Online Library account. After a brief stay in Berne to study (under Theodor Kocher) the problem of cerebral circulation in the setting of elevated intracranial pressure, Cushing received an offer from Halsted to return to Hopkins as an associate surgeon who would specialize in “surgery of the nervous system.” This appointment, coupled with the growing buzz generated by the publication of his research results, catapulted Cushing to a position of eminence at the impossibly young age of thirty‐three. Vol. His professional sons, grandsons, and now great‐grandsons reflect the personality of their patriarch in their perfectionism, machismo, and obeisance to the notion of hard work. 5 in France during World War I drove Cushing to the brink of complete exhaustion. Michael Bliss, a professor of history at the University of Toronto, first published William Osler: A Life in Medicine (review BMJ 2000;321: 1087). Harvey Cushing: A Life in Surgery University of Toronto Press. 20, No. Simon Hanft; Simon Hanft. Historical vignette. [Michael Bliss] -- Here is the first biography to appear in fifty years of Harvey Cushing, a giant of American medicine and without doubt the greatest figure in the history of brain surgery. Bliss does an expert job of charting the progress of neurosurgery at the beginning of the twentieth century. But, subsequently you can hold others to begin reading, it will be better. 2005. [Michael Bliss] -- "Here is the first biography to appear in fifty years of Harvey Cushing, a giant of American medicine and without doubt the greatest figure in the history of brain surgery." Cushing's fascination with the pituitary is often overshadowed by his neurosurgical successes. Like its subject, it is a testament to faith, judgment, and above all, devotion. Michael Bliss, a professor of history at the University of Toronto, first published William Osler: A Life in Medicine (review BMJ 2000;321: 1087). xii, 591. But he was an eager student of the pituitary, ultimately publishing a monograph in 1912 that would stand as an important early work in the history of endocrinology. If you do not receive an email within 10 minutes, your email address may not be registered, Like Cushing, Michael Bliss has previously wrestled with Osler's life and times in his well‐received biography, William Osler: A Life in American Medicine. If you have a subscription to The BMJ, log in: Subscribe and get access to all BMJ articles, and much more. Cushing's assertion that hypersecretion by the adrenal cortex resulted from pituitary basophil adenomas was, as Bliss notes, “a daring and controversial hypothesis on Cushing's part, based on only a few cases.” Cushing's concert‐grade performance in the operating room had its counterpart in his contributions to human physiology. Permalink Disable Highlighting Record details. Watch Queue Queue A pioneer of brain surgery, he was the first exclusive neurosurgeon and the first person to describe Cushing's disease. His emphasis on pre‐ and post‐operative care, careful hemostasis, intra‐operative blood pressure monitoring (he brought the first sphygmomanometer back to the US from Italy), and meticulous technique (most surgeons operated far too fast) allowed Cushing to operate on the brain regularly, successfully, and with an astoundingly low mortality rate. Nonetheless, it would be decades before Cushing would re‐engage the pituitary, which Madeline Stanton, Cushing's secretary for many years and a diarist in her own right, would write was “the Chief's first and only true love.”. Harvey Cushing: A Life in Surgery: Bliss, Michael: Amazon.nl Selecteer uw cookievoorkeuren We gebruiken cookies en vergelijkbare tools om uw winkelervaring te verbeteren, onze services aan te bieden, te begrijpen hoe klanten onze services gebruiken zodat we verbeteringen kunnen aanbrengen, en om advertenties weer te geven. After attending Harvard Medical School in the 1890s and working under the legendary William Halsted in the newly minted Johns Hopkins Hospital, Cushing was drawn to surgical problems of the nervous system around 1899. Customers Who Bought This Item Also Bought 21, No. Cover image from Harvey Cushing, A Life in Surgery by Michael Bliss (2005) by permission of Oxford University Press, Inc. In preparing a lecture on pituitary physiology in 1930, Cushing located a case in the literature that was reminiscent of a recent patient. His work won him the Pulitzer Prize in 1926. He also developed a more reliable trans‐sphenoidal approach for lesions of the pituitary, and his study of that gland made him one of the pioneers of endocrinology. Based only on his findings, Cushing submitted a report in which he argued for the existence of a syndrome caused by basophilic pituitary tumors. Cuenta y Listas Cuenta Devoluciones y Pedidos. Here is the first biography to appear in fifty years of Harvey Cushing, a giant of American medicine and without doubt the greatest figure in the history of brain surgery. In the emerging field of neurological surgery in the early part of the 20th century, Vasari's comments could most appropriately be applied to Harvey Williams Cushing (1869–1939). Metrics. : $27.95 $24.33 (as of 03/10/2013 05:32 PST) 41 Used! A sequel of sorts to Bliss's award-winning biography of Osler, and the completion of his project of describing the rise of North American medicine at the beginning of the modern age, Harvey Cushing: A Life in Surgery breaks new ground in medical biography. For decades professional medical historians considered the biography to be outdated as a genre. However, in recent years there has been a revival of interest in the lives of outstanding individuals. Bliss, a medical historian and professor at the University of Toronto, now turns his attention to Cushing himself, and his founding role in the development of modern neurosurgery. We can have the great satisfaction of knowing that only men of a certain type will venture to make it their life work.” Cushing's belief in the power of the individual is further revealed in his remarks on writing Osler's biography, where he declared, “I have rather come to conclude that personality is the most important thing in the world.” Thanks to the epic effort of Michael Bliss, we now have a document of Cushing's personality, and a volume that deserves a place alongside Cushing's Osler on the shelf of great medical biographies. Harvey Cushing: A Life in Surgery. The challenge of chronicling the life of a medical giant was not unknown to Harvey Cushing. Born in Cleveland in 1869, Cushing was heir to a long line of physicians, none of whom were surgeons. If you are unable to import citations, please contact Harvey Cushing: A Life in Surgery by Michael Bliss (2005), Oxford University Press. Please check your email for instructions on resetting your password. Words in title. Indeed, in the early years of the twentieth century, Cushing (1869-1939) almost single-handedly created brain surgery as a specialty. But Cushing's laboratory findings did not translate into clinical success; as Bliss writes, “the stowaway gland, whose first answers had seemed relatively straightforward to Cushing, turned out to be maddeningly elusive, deceptive, complex.” Cushing's research on the pituitary, Bliss goes on to note, “fell prey, as [Cushing] gradually realized, to misconceptions, simplifications, wishful thinking, and dead ends.” One such failed intervention was Cushing's radical attempt to transplant a pituitary. Recognized the world over as a major medical observation, the condition was immediately named Cushing's Syndrome (In cases where basophil pituitary adenomas were the culprit, the condition later became known more specifically as Cushing's Disease.) 12. Harvey Cushing: A Life in Surgery: Amazon.nl Selecteer uw cookievoorkeuren We gebruiken cookies en vergelijkbare tools om uw winkelervaring te verbeteren, onze services aan te bieden, te begrijpen hoe klanten onze services gebruiken zodat we verbeteringen … Harvey Cushing: A Life in Surgery. This is the definite Cushing biography, an epic narrative of high surgical adventure, capturing the highs and lows of an extraordinary life. Here is the first biography to appear in fifty years of Harvey Cushing, a giant of American medicine and without doubt the greatest figure in the history of brain surgery. Cushing's early ganglionectomies at Hopkins were successful in curing the notoriously difficult condition of tic douloureux (trigeminal neuralgia). Everyday low prices and free delivery on eligible orders. Get this from a library! Cushing's legacy in neurosurgery extends beyond the technical innovations he brought to the field. Neurosurgery is a team game, and Cushing is compared to a “star player, star coach, and general manager, all in one.” Every operation was like a championship set: “He played tennis the way he operated, and he operated the way he played tennis.” Cushing described the first world war as a football game and life in general as a sports event (“Life all round is a kind of sporting event and the best …. Hypersecretory adrenal gland tumors could bypass the pituitary and directly cause the syndrome. October 2006. Working off-campus? The Cushing genealogy forms the foundation of modern neurosurgery as it was and still is practiced in this country. Cushing proceeded to an exhaustive search within the literature and his own patient records. Through that research Cushing identified the phenomena of hypopituitarism and hyperpituitarism, terms he coined himself. His own patient records £30 / $ 37 / €33 ( excludes VAT ), California, USA early-twentieth-century! 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