When one reads a biography, the most frequent impression is often one of awe. When one reads a biography about someone who's life's work was the same as the readers, it moves one in all so many ways. When one reads a biography of a giant of a man, an inventor, a creator, in one's field, it is overwhelming.
This book, " Harvey Cushing, A Life in Surgery" by Michael Bliss, is such a book. Dr. Cushing, the father of neurosurgery, at the incunabula, multiple operations on awake patients and the insensate brain, under local ( cocaine) anesthetic+/or ether anesthesia.
What is and who are in this book? Dr, Cushing, born in 1869, a Yale man , Harvard Medical School. His career included Johns Hopkins and Peter Bent Brigham Hospitals, ( both c appellations after their philanthropic merchants from Baltimore and Boston respectively- the latter peddling oysters from a cart and amassed millions in real estate).
William Halsted, George Crile, ( the Cleveland Clinic), William Osler, Dr. Walter Dandy, the Mayos, father and two sons, Cushing knew them all. The young Frenchman, Alexis Carrel doing experimental vascular repairs in the lab, amazing both Cushing and Crile. The advent of the X-Ray, by the German, Wilhelm Rontgen, and the outpatient department at the hospital where Cushing was, one of the 1st to have it in the country. Blood transfusions in pricipio by Dr, Crile and his team. The homemade inflatable blood pressure cuff which Cushing found during a trip to Europe, specifically, in Parvia, Italy- the Scipione Riva-Rocci. W.T Bovie, with the invention of the cautery, Cushing and all surgeons welcoming the increased facility with the improved visual field.
In 1898, soldiers returning from the War c Spain over Cuba, many ill c typhoid fever, so ill that Cushing and others literally carried 40 soldiers off the train in Baltimore, taken to Johns Hopkins for treatment under the aegis of Dr. William Osler and his medical team.
Cushing, already famous for his triad of vast experience c ganglionectomy for trigeminal neuralgia, surgery for brain tumors, and , of particular interest, surgery of the pituitary gland.
In August, 1914, WWI broke out. Germany and Austria-Hungary against Russia, France, and the British Empire. At the behest of the current and past US Ambassadors to France, a serious medical hospital, 450 beds, " Ambulance Amercaine" was started in Neuilly-Sur-Seine. George Crile was asked to serve, and Cushing thereafter. There the doctors saw and treated the ravages of the battle of the Marne. April25, 1915, Ypres, with the use of chlorine gas, the 1st use of poison gas in modern warfare. Alexis Carrel, and Henry Dakin ( Dakin's solution), irrigating wounds with bactericidal fluids, one of the most significant and controversial innovations in wartime medicine.
On May 5th, 1915, Cushing was taken to get a glimpse of the Ypres battle field, to see the remains of the city. Big gun were firing nearby. He learned later that Jack McCrae, a combatant c the Canadian artillery was somewhere out there, in the "Second Ypres". He had scribbled some lines in memory of a comrade fallen in the Flanders field, later to become the most famous poem of the war.
Cushing was scheduled to return to America on May 8th, 1915. On May 7th, 1915, the Lusitania was sunk. The following day, their boat went through the debris field in the Atlantic for over one hour.
In February, 1917, Germany announced the resumption of unrestricted submarine warfare. March 21, 1917, the Germans attacked Flanders. Giant German cannons shelled the capital from 75 miles away, firing the first projectiles ever to enter the stratosphere. April 6, 1917, President Woodrow Wilson declares war on Germany. At age 49, Dr, Cushing was going back to war," somewhere in Flanders field".Volunteers lined up at Harvard Medical School. On May 6th, a service was held at St Paul's Episcopal Cathedral in Boston, " the 'banner' of course, was star spangled, a special American flag...It was the first Boston flag to be sent to a battlefield in Europe. Women wept during the singing of 'The Star Spangled Banner' and ' The Battle Hymn of the Republic'.
July 4th, 1917 , General 'Black Jack" Pershing( Pershing Square) and the 1st Battalion of American soldiers arrives in Paris. ' Vive L'Amerique!
On July 22nd, Major Cushing was at No.46 Casualty Clearance Station, where serious head injuries would be sent to his attention. On July 31st, at 3:50 am, the battle of Passchendale, in a deluge of rain, begins. Four consecutive days of rain, Dr, Cushing, father of neurosurgery, c injuries so severe that he was losing half the men he was trying to help.
August 26th, 191`7, Cushing receives notice that Revere Osler, son of Grace and Dr( and Sir) William Osler, of Oxford, England, was seriously injured,. Grace, an American, the great-granddaughter of Paul Revere. Four of America's best surgeons, Cushing, George Crile, and William Darrach and George Brewer of New York tried to save him. They were unsuccessful.
"We saw him buried today. A soggy Flanders field...A strange scene- the great-great-great-grandson of Paul Revere, under a British flag... "
Dr, Cushing was indefatigable, his surgery of the brain career prodigious, as were his writings on the subject of neurosurgery, multiple books and( 16 Volumes of Harvey's published articles), along with a two volume set of the life of William Osler.
In September 1939, Dr. Cushing published an obituary essay for his two surgical friends, Will and Charlie Mayo, who had both died that summer.
One month later, Dr. Cushing, age 70 died, his life span two weeks longer than his friend , William Osler.
In 1965, the Harvey Cushing Society changed its name to The American Association of Neurological Surgeons. The neurosurgeons" one way or another, most of them acknowledge that they are Harvey Cushing's spiritual descendants... As Cushing said in homage to his predecessors, ' What has been accomplished does not die'.