A miracle and a privilege : recounting a half century of surgical advance / Francis D. Moore.

Format:

Book

Author/Creator:

Moore, Francis D. (Francis Daniels), 1913-2001, author.

Language:

English

Subjects (All):

Moore, Francis D. (Francis Daniels), 1913-2001.

Moore, Francis D.

Surgeons--United States--Biography.

Surgeons.

Physical Description:

1 online resource (xii, 450 pages) : illustrations

Edition:

1st ed.

Place of Publication:

Washington, District of Columbia : Joseph Henry Press, [1995]

Language Note:

English

Summary:

Francis Moore entered Harvard Medical School in September of 1935, seven years before penicillin became available. During his remarkable career in surgery, research, and education, Moore has witnessed and contributed to some of the most important biomedical advances of the century, and his students now practice surgery worldwide. In this autobiography, he brings humor and warmth to the story of a lifetime at the forefront of medicine. In this fascinating book Moore describes his work in radioactive isotope research, burn therapy, breast cancer treatment, transplant science, and understanding the process of convalescence. Moore's colleagues have included such medical pioneers as George Thorn, David Hume, Thomas Starzl, John Gibbon, Steven Rosenberg, Harold Urey, and Nobel Prize winner Joseph Murray, and he recounts the setbacks and victories of their work. For example, he writes of the adventure he had with Charles Hufnagel in which 25 dogs, implanted with Hufnagel's experimental heart valves, made their escape into the Connecticut countryside and had to be recovered by dog control officers wielding stethoscopes. Yet Moore recalls with equal clarity the young mother who gave him a silver dollar for delivering her baby, the husband who begged that his ailing wife be allowed to die with dignity, and the desperately sick patients who made themselves available for experimental surgery and treatment. In one of his early operations he relieved "the pain, anguish, and threat to a wonderful small boy" by removing the boy's diseased appendix. He describes this capability as "a miracle and a privilege." The book includes a gripping account of the aftermath of the Cocoanut Grove nightclub fire in Boston in 1942, when Moore learned the horrific details of death by fire. He recounts both his experience with M.A.S.H. units and battalion aid stations in Korea and the sudden request from the U.S. State Department that resulted in his treating King Ibn Saud of Saudi Arabia. Moore's life story reflects his serious commitment to human well-being as well as his appreciation for the wonder of human life. Physicians, medical students, and all readers alike will find this book informative and inspirational. Francis Daniels Moore, M.D., is Moseley Professor of Surgery, Emeritus, Harvard Medical School and Surgeon-in-Chief, Emeritus, Peter Bent Brigham Hospital, Boston.

Contents:

COVER PAGE

IN MEMORIAM FRANCIS D. MOORE 1913 - 2001

Contents

Preface

Acknowledgments

BOOK ONE Student of Man

CHAPTER 1 Medical Student (1935-1939)

CHAPTER 2 Harvard Medical School in the 1930s

A Married Student

Science for Beginners

Visiting the Sick

On District

A Medical Faculty

Student Research

Our First Four Years

Making It to Internship

BOOK TWO Middlewesterner: Born, Bred, Schooled, Wed

CHAPTER 3 Family Origins, Childhood in the Trenches

Winnetka and Hubbard Woods

CHAPTER 4 Trains, Family Doings, and Travels

CHAPTER 5 A Great School (1919-1931)

CHAPTER 6 Harvard College (1931-1935)

Music, Serious and Comic

Depression Years

CHAPTER 7 Laura: Wife for Life

Laura

Wedding, and Some Electricity

Young Marrieds and a Growing Family

BOOK THREE First Years in Clinical Surgery

CHAPTER 8 Surgical Residency at the Massachusetts General Hospital (1939-1943)

Young Professionals

The Pup Enters the Pack

The Pup Transfuses

The Pup Anesthetizes

The Residents Operate ... a Lot

CHAPTER 9 Death After the Game: The Cocoanut Grove Fire (1942)

Fire Kills in Several Ways

Respiratory Tract Injury

Morphine and Tracheostomy

Settling Down to the Task

Lessons

CHAPTER 10 Defeats and Triumphs: Residency Is Not All Smooth Sailing

Sensitivity Among Surgeons

Senseless Things Can Happen

Severe Infection

CHAPTER 11 Finishing the Wartime Residency

White Suit to Civvies (1942-1943)

Teachers

The Lighter Side

Pearl Harbor: "Your Job is Right Here"

Job Offers

White Suit to Civvies

CHAPTER 12 Patient Outcomes, Ernest Codman, and Clinical Research

Forgive, But Do Not Forget

Codman's Classification

Outcomes

Clinical Research

The Thyroid and Antithyroid Drugs

Duodenal Ulcer and Vagotomy.

BOOK FOUR Basic Research and Academic Life

CHAPTER 13 The National Research Council and Isotope Research (1941-1942)

A Choice, and the Two Paths

A Year at the Huntington

Isotopes and Biophysics

A Radioactive Dye

Academia Beckons

CHAPTER 14 Body Composition and the Stuff of Which We Are Made

The Body Cell Mass

How Much Water Is in a Rabbit?

On to Our Own Species

CHAPTER 15 Getting Well

The Response to Injury and the Nature of Survival

The Beauty of Convalescence

The Normal Sequence

Cannon and Cuthbertson

Three of Life's Sequences: Pregnancy, Growth, and Convalescence

Shock and Starvation

Support and Colleagues

Books and Honorary Lectureships

CHAPTER 16 Two Harvard Hospitals: The Brigham and the General

A Candidate for Promotion (1947-1948)

Elliott Cutler's Death and the Search

MGH and PBBH

An Offer and Its Response

BOOK FIVE Professor of Surgery

CHAPTER 17 Surgical Professors, Ancient and Modern

Warrens and More Warrens

Hersey and Moseley

Cushing and Cutler

A New Arrival in the Old Lineage

CHAPTER 18 Young Man at a Young Hospital (1948)

Generalists and Specialists

Farming Out a Few Residents

Pay and Beds

Back to Anatomy: A Case of Gallstone Colic

Visiting Professors and Friends From Abroad

BOOK SIX Transplantation

CHAPTER 19 Rejection, the Twins, and Radiation (1950-1961)

The David Hume Series

A South American Doctor

George Thorn, the Artificial Kidney, and the "Arm Kidney"

Ancient Dreams and Alexis Carrel

Wartime Science: Kolff...

... and Peter Medawar

The Birth of Transplant Immunology (1944-1954)

Twinning and Genetic Identity

A Twin Dying of Renal Failure

Joseph Murray and the First Successful Transplant (December 1954)

The Seven Black Years (1954 -1961).

CHAPTER 20 The Advent of Drug Immunosuppression (1958-1962)

Roy Calne and Drug Immunosuppression (1959-1961)

The First Successful Transplant from an Unrelated Donor (April 1962)

Les Parisiens

A New Star in Denver: Thomas Starzl

CHAPTER 21 The Liver: Transplanting the Body's Largest Organ (1957-1965)

The Laboratory Start of Liver Transplantation

From the Laboratory to the Operating Room

Who Needs a New Liver?

The Revenge of Immunosuppression

CHAPTER 22 Broadening Scope

New Problems

Nonnumquam, Nocere Est Renovare

The Heart

Chauvinism in Surgery

The Lung

The Pancreas and the Endocrine Glands

The Newest Field of Surgery and Science

From Primum Non Nocere to Nonnumquam, Nocere Est Renovare

Waiting Lists

Drawing on Other Species (Xenotransplantation)

BOOK SEVEN Heart Disease and Cancer

CHAPTER 23 Opening Its Valves and Then the Heart Itself

Churchill and Harken

John Gibbon Comes to Boston

Opening the Mitral Valve and Closing the Patent Ductus

John Gibbon Opens the Heart

Other Ways: Toronto and Minneapolis

Catheters in New Places

The Clicking Dogs

Sticking With It

CHAPTER 24 Adoptive Immunotherapy of Cancer

Bad Actors: The Solid Tumors

Radicals and Conservatives

The Free Interval and Advanced Disease

Steve Rosenberg Makes Lymphocytes Multiply and Work Harder

The Care of Lieutenant L.G.

BOOK EIGHT Surgery Abroad and Back Home

CHAPTER 25 Korea (1951)

Helping Out at a MASH

The Threat of Potassium Toxicity

Epidemic Hemorrhagic Fever

The Wounded and Their Surgeons

The Case of a Severely Wounded Soldier

Japan, and Home

CHAPTER 26 King Saud: Caring for the Royal Family of Arabia (1961)

The Royal Retinue

A Diplomatic Welcome

Caring for the King

Arabian Days...

... and Nights.

Faisal, and a Transient Hope of Liberalization

CHAPTER 27 The Midnight to Washington: National Responsibilities

The Surgeon General's Committee

NIH Surgery Study Section

The Uniformed Services University of the Health Sciences (USUHS)

NASA

Getting There, Awake or Asleep

Looking Back

CHAPTER 28 Autres Chirurgiens, Autres Moeurs

Britain

France

Scandinavia

Germany

Greece and the Eastern Mediterranean

Down Under

India

Southeast Asia

China

Back Home

BOOK NINE Big News

CHAPTER 29 1963 and a Cover Story

Family Still Growing

Department Still Growing

Attention from the Press

The Year Ends in Tragedy

CHAPTER 30 The Urge to Merge

A New Teaching Hospital for Harvard (1958-1980)

Time to Expand

The Harvard Family of Hospitals

A Leader Emerges from the Crowd

Coasting to a Grand Opening

Tragedy at the Moment of Triumph

CHAPTER 31 A Nobel Prize for Joseph Murray (1990)

Alfred Nobel

The Karolinska and the Prize

Attending the Ceremony

BOOK TEN Things Do Change

CHAPTER 32 Ethics at Both Ends of Life

The Near Miss of a 23-Year-Old Mother

Helping Life at Its End

A 65-Year-Old Woman with a Fractured Pelvis

An 85-Year-Old Woman with Severe Burns

A New Task for the Doctor

CHAPTER 33 Trying to Retire

Letting Go Gradually

Fending Off the Retirement Neurosis

The New England Journal of Medicine

CHAPTER 34 Laura's Death

A New Life with Katharyn

CHAPTER 35 Leisure

Sailing

Music

CHAPTER 36 Cool Streams, High Mountains, White Faces: Looking Back

A Ranch Beside the Mountains (with a River Running Through It)

Animals, Wild and Tame

Fine Art

Good Times Together

Notes and References

Photo Credits

Also by Francis D. Moore

Index.

Notes:

Bibliographic Level Mode of Issuance: Monograph

Includes bibliographical references (pages 367-430) and index.

Description based on print version record.

ISBN:

0-309-17655-7

0-585-02362-X