Education and traditions.

In my years in medicine, which began in 1961 or even earlier with premed, I met a few very colorful teachers. From time to time, I would like to profile some of them lest they be forgotten as people and remain only an entry in a dusty bound volume in a library. One such was a neurosurgeon named Aidan Raney. When I began to do a little research on him, I found that Google searches turn up only his son, a very good cardiac surgeon in Newport Beach. I remember the son as a high school student I met once.

When I was a third year medical student, my medical school had a program in which students could spend a summer with private practice physicians to see what the life was like. I spent a summer with Aidan Raney. I wasn’t so much interested in neurosurgery but wanted to see more of it before I committed myself to a career. Doctor Raney had been the first neurosurgery resident at the new Los Angeles County Hospital after it opened in 1933. The old hospital, now torn down, had been in service since about 1913. The University of Southern California medical school, which had closed in 1920 as a consequence of the Flexner Report, reopened when the new hospital opened and graduated its first class in 1932.

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The Erector Set

This is my maiden post as a new Chicago Boy so I thought I would recycle a post from my own blog that might be of interest.

My grandson’s birthday was two weeks ago, and his father’s is next weekend. I thought I would give him (the grandson) a toy that I was sure he had never heard of, an Erector Set. I have a medical connection, as well as a childhood connection, with this toy, now largely forgotten. I had Lionel trains when I was a child in Chicago and eventually had HO gauge trains, as well. When I had sons old enough to play with trains, I built an elaborate train set in my garage. Then I learned that southern California is not the place for toy trains. The boys were outdoors all the time and the train set gathered dust.

Few kids today will have the chance to enjoy the Erector Set. Like so many cold climate toys, it is never seen in southern California. I wonder how many sets are sold in Chicago ? There   is still a small source for this toy; but the glory days of the Erector Set were long ago. The toy was invented by A.C. Gilbert; in 1913. The story is interesting. Gilbert was a Yale Medical School graduate and had also won a gold medal, for the pole vault, in the 1908 Olympic Games. He built a new design bamboo pole that he used in his winning vault and he sold these, as well as other toys.

Like many residents of New Haven, Connecticut, he often took the train to New York City; and on one trip in 1911 he was inspired with what would be the most popular of his dozens of inventions.

Watching out the train window as some workmen positioned and riveted the steel beams of an electrical power-line tower, Gilbert decided to create a children’s construction kit: not just a toy, but an assemblage of metal beams with evenly spaced holes for bolts to pass through, screws, bolts, pulleys, gears and eventually even engines. A British toy company called Meccano Company was then selling a similar kit, but Gilbert’s Erector set was more realistic and had a number of technical advantages — most notably, steel beams that were not flat but bent lengthwise at a 90-degree angle, so that four of them nested side-to-side formed a very sturdy, square, hollow support beam.

Gilbert began selling the “Mysto Erector Structural Steel Builder” in 1913, backed by the first major American ad campaign for a toy. The Erector set quickly became one of the most popular toys of all time: living rooms across the country were transformed into miniature metropoles, filled with skyscrapers, bridges and railways. Those kids who already owned a set would beg Santa annually for an upgrade, aiming for the elusive “No. 12 1/2” deluxe kit that came with blueprints for the “Mysterious Walking Giant” robot. It is difficult for anyone under the age of 35 today to appreciate just how popular the Erector set was for over half a century.

Now, it happens that I have a personal connection to the Erector Set. In the early 1970s, a patient was referred to me with an esophageal stricture. He was in his 90s and had been told he was too old for a major operation like that. He and his wife had emigrated from England in 1913 and he was looking for a job as an engineer, when he met A.C. Gilbert, who was having trouble selling his new toy. Gilbert had invented the Erector Set and had built a few samples of what could be constructed using the new kit of materials but the set consisted of lots of perforated metal pieces and machine screws and nuts. The challenge was to design structures that children, with some parental help perhaps, could build. I had a set at the age of six and spent hours with it.

Gilbert needed someone to build sample structures using the set and write instructions on how to build them. He took the job and spent years working on new designs and instruction books. The first Christmas after he began work for Gilbert, the giant New York City department stores, Macy’s and Gimbel’s, wanted sample structures to help sell the toys. My patient built a huge suspension bridge for one store, that crossed over the cash registers, which in those days were arranged like the check-out lines in today’s supermarkets. The bridge was over 20 feet long. As soon as the other store saw his bridge, they wanted one just like it. He built another and the toy’s popularity took off. For years, he worked for Gilbert although, when I knew him, he had been retired to San Clemente for years.

He and his wife were in good health with the exception of this stricture that was so tight that he could only swallow liquids. It was a consequence of esophageal reflux and the scarring that chronic reflux produces.   He was very lucky that it had not developed a cancer.   He subsisted on apple sauce and other pureed food that would not pass through the stricture until he jumped up and down while standing against the wall. Every few mouthfuls, he had to stand up and jump until the food went down. He had been told he was too old to have it fixed, or even dilated, and his only option was some sort of feeding tube. Needless to say, he was skinny and the operation seemed to be feasible to me. Larry Mathis, a long time GP surgeon in San Clemente was his GP and Larry and I decided to try to fix his stricture. At surgery, his esophagus, just above the stomach where most benign strictures occur, was so tight that it split when I tried to dilate it from below with my finger. There is a procedure called a Thal Patch(pdf). It is used to close esophageal perforations such as traumatic tears and ruptures, like the Boerhaave’s Syndrome. In this case, I had created the hole in the esophagus by tearing open the stricture. I made a Thal patch from his stomach and closed the hole without recreating the narrow section. The surgery worked and he recovered very well. He hadn’t been able to eat solids in over five years. As a reward, he told me his story.

A few years later, he presented with symptoms of acute cholecystitis but at surgery I found a cancer of the colon next to the gallbladder. About   a year later he died of the cancer, having nearly reached the age of 100.

A.C. Gilbert also invented a number of other toys that were Christmas traditions for half a century. They included chemistry sets, physics sets and even a nuclear radioactivity set that included a Geiger counter. I had several of these, including the radioactive set. Those were the days before TV when children played with educational toys and were not so self-conscious about it. Today, the ATF would probably raid the basement of a child who had one of those sets.

Paul Revere’s Ride, April 18, 1775

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… For, borne on the night-wind of the Past,
Through all our history, to the last,
In the hour of darkness and peril and need,
The people will waken and listen to hear
The hurrying hoof-beats of that steed,
And the midnight message of Paul Revere.

God bless America.

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Krystyna Skarbek

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I’ve been meaning for a while now to write about this very courageous woman (who is better known by the anglicized version of her name, Christine Granville)…the tragic events in Poland make this seem like an appropriate time to remember a Polish heroine.

Previously, I’ve posted about two women–Violette Szabo and Noor Inayat Khan–who worked for the secret British WWII organization known as Special Operations Executive…whose mission it was to organize resistance and sabotage activities in occupied Europe. Krystyna Skarbek also worked for SOE during the latter part of her WWII career, during which time she was partnered with another SOE agent named Francis Cammaerts, who led resistance operations over an extensive area in southern France. I spent some time with Mr Cammaerts during a trip to France in 2001, and will be writing about him in a future post.

Skarbek was born near Warsaw in 1908: her father was a bank official and a member of the nobility, and her mother was Jewish. She became an avid horsewoman and skier, and also a beauty queen (#6 in the Miss Poland contest for 1930.) When WWII broke out, Krystyna was living in Ethiopia with her second husband, who was the Polish consul there. She immediately went to London and volunteered to work as a secret agent…I believe her first assignment was with the Secret Intelligence Service (spying) rather than with SOE (sabotage.) She first traveled to Hungary, from which she planned to ski into Poland…while in Budapest she met Andrew Kowarski, who was to become her great love. In early 1940, she went over the Tatra mountains to begin her first underground assignment, in which she organized a network of couriers to bring intelligence reports from Warsaw to Budapest. She also located her mother, who was doubly in danger because of her aristocratic connection as well as her Jewish background, and warned her to leave the country…but her mother refused and was later arrested and never heard from again.

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