All posts by ebg17@duke.edu

Consumer Reports, Featured, From Our Collections, Hartman Center

Fallout Shelter Fallout

Post contributed by Joshua Larkin Rowley, Reference Archivist, John W. Hartman Center for Sales, Advertising & Marketing History.

The January 1962 issue of Consumer Reports, the flagship publication of the consumer education and advocacy non-profit of the same name, included a much-anticipated article titled “The Fallout Shelter: A review of the facts of nuclear life and the variables that bear on the effectiveness of a shelter.”  Cold War consumers were eager for guidance from a trusted source of product evaluation.  However, Consumer Reports essentially took a pass.  According to the organization, all the variables that might make a shelter effective or ineffective were simply unknowable and unpredictable.  While the organization side-stepped recommending specific shelters, the Technical Department, the unit responsible for creating testing procedures, methods, and reports, retained forwarded letters documenting reader reactions to the article.  For a moment, the fallout shelter article became a flashpoint for the hopes, fears, and anxieties of Cold War citizens.

Front cover of the January 1962 Consumer Reports magazine. The cover is blue and features article titles including "the fallout shelter" and "new compact cars" along with images of several small cars.
Consumer Reports cover, January 1962

Some readers applauded the article as the most objective and thorough review of the facts regarding the effectiveness of fallout shelters.  Others were not so complimentary.  A professor of architecture at the University of Florida and self-described instructor in “Fallout Shelter Analysis,” accused the organization of using the same tactics as cigarette advertisers, “arguing from a conclusion using pseudo-technical jargon.”[1]  Another agreed that Consumer Reports had not “..lived up to its own standards in discharging the awesome responsibility…of giving advice that might mean life or death to large numbers of people.”[2]  Some took an optimistic something-is-better-than-nothing stance.  “You apparently cannot admit that a partial solution is better than no solution at all,” wrote one subscriber.[3]  Yet another reader relays that he is often asked by friends and acquaintances whether he is afraid that the shelter he is currently constructing might not work.  His reply, he shares, is always: “No—My greatest fear has been that it (nuclear war) might happen, and I would be faced with the knowledge that I hadn’t even tried or made the effort.”[4]

Other readers felt the article reinforced their own principled stance concerning nuclear armament.  A letter from a couple from Bellaire, Ohio included their own vision of Civil Defense titled Civilization Defense: A Creed, in which they lay out a list of principled teachings that they plan to instill in their children amid the omnipresent threat of nuclear war which concludes: “This creed is the only shelter I will build for my children.”[5]  A research psychologist at the University of Michigan argued that the greatest threat posed by the fallout shelter fad was not their inadequacy, but their “psychological and political consequences during a time when an attack might still be prevented.”  He goes on to argue that shelter programs are but “a step in the long chain of events” that could actually provoke a nuclear war.  Lynn and Michael Phillips of Berkley, CA, agreed, commending the article’s importance in “preventing people from making the deadly mistake of accepting nuclear war” as a means to rid the world of Communism and survive.  In the mind of the Phillips’s the only way to protect a nation’s people from nuclear war was disarmament.

Typed document on white paper showing "Civilian Deference: A Creed" with the handwritten signature of Milton and Charlotte Levine near the bottom of the page.
Civilization Defense: A Creed, 1962

Consumer Reports was also critical of companies eager to leverage the demand for fallout shelters.  In an article titled “Enter the Survival Merchants,” the magazine characterized the “survival business” as a natural home for “fly-by-night operators, high pressure salesman, and home improvement racketeers” and accused the industry of preying on people’s fear as well as their patriotism.  A letter from an executive at KGS Associates, later to be revealed as a civil defense merchandiser, accused the publication of intentionally setting out to discredit the civil defense industry.  In the case of a nuclear attack, the writer wondered “how fast the Consumer Reports staff…will run for the shelters, eat the food, and drink the water provided by the men they have described as hungry, callous, and even a bit shady.”  Another shelter defender pointedly stated, “your implication that all shelter designers are out to fleece the public is untrue and not up to the high standards I have always looked for in Consumer Reports.”[6] The organization did not let large corporations off the hook either.  General Mills, the processed foods manufacturer, also came under fire for their marketing of Multi-Purpose Food (MPF), a shelf-stable nutritional supplement designed specifically to stock fallout shelters and meant to be mixed with other foods.  Brochures for the product were often displayed alongside fallout shelters at civil defense trade shows, piggybacking on the shelter craze.

Two pages from the Multi-Purpose food brochure. The pamphlet is yellow with red text and features images of canned foods and information about the product.
Multi-Purpose Food brochure, General Mills, September 1961.

Looking back on the controversial issue two years removed from its publication, Consumer Reports staff took time for an LOL moment.  In an internal memo, a staff member noted an article published in the New York Post that day about fallout shelters that cited a local company “…buying up prefabricated fallout shelters for conversion to hot dog stands and cabanas. ‘Swords into plowshares’” he quipped.[7]

 

[1] King Royer to Consumers Union, 12 January 1962.  Consumer Reports. Technical Department Records, Box 54

[2] Jack Hirshleifer to Irving Michelson, Director of Public Service Projects, 15 March 1962, Ibid.

[3] John F. Devaney to Dexter Masters, Director, Consumers Union, 11 January 1962 Ibid.

[4] Thomas McHugh to Consumer Reports, 8 April 1962.  Consumer Reports. Technical Department Records, Box 54.

[5] Charlotte Levine to Consumer Reports, 14 January 1962, Consumer Reports. Technical Department Records, Box 54.

[6] McHugh to Consumer Reports.

[7] Memoranda, 17 July 1963, Consumer Reports. Technical Department, Box 54

Featured, History of Medicine, Students and Interns

Meet Michelle Wolfson, Josiah Charles Trent History of Medicine Intern!

Post contributed by Michelle Wolfson, the 2022-2023 Josiah Charles Trent History of Medicine Intern.

Tell us a little bit about yourself.

I am currently studying library science at East Carolina University. I started the program after realizing both of my children would be in school, in-person (the youngest did kindergarten virtually!), and I could get back to work. I enjoyed being a homemaker for nearly a decade; my children are 10 and 8 years old. Instead of returning completely to work, I decided that I did not want my children to one day say about me, “She really wanted to be a librarian but she never did it,” and so I started at ECU’s online, asynchronous program. I currently work part-time at a public library, as well as here at Duke, and it has been so exciting for me to experience both public and academic librarianship, to see how they differ and overlap. At the public library, I work on the youth services side. I have worked for nearly a year to have our public library system become the first in North Carolina to be sensory inclusive certified and have created a sensory room at one of our branches.

What do you finding interesting about working in libraries, and specifically, the History of Medicine Collections?

What I find most interesting about working in libraries is that everybody is on their own learning journey, and I am thrilled when I can be a part of that or helpful in any way. Working with the History of Medicine Collections is especially exciting because whether I am working with medical students or other students, health and medicine affects all of us, and everybody can find something that is relevant and interesting. Regarding the materials, I most like seeing the ways that people from the past got things right or got things extremely wrong (but you can also see why they thought the way that they did). It makes you appreciate that we’re all in this together, trying to muddle our way through, learning and growing from those before us.

What is a memorable experience from your internship?

There have been so many memorable experiences! I really enjoyed when the family and friends of Dr. Richard Payne came into Rubenstein Library to look over some of his things that are part of the Richard Payne papers 1980-2020. There was so much joy and so many stories everybody shared about Dr. Payne that were sparked when they viewed the collection. And they were excited to hear about how his papers would be used to help educate students, future doctors, and scholars. I also enjoyed being able to introduce primary sources to students in Dr. Seth LeJacq’s Writing 101 class. Seth is a fantastic teacher who also taught me, how to be the kind of thoughtful and purposeful teacher I would like to be when engaging with students. Working with Rachel Ingold, the curator, has also taught me some of the same lessons as Seth – being kind and curious is an invitation to students to learn from you while also teaching you things.

Do you have a favorite item you’d like to share?

I’ve been asked to share a memorable experience and a favorite item! I will share two things. I was asked to look over the Four Seasons for an upcoming digitization project the Digital Production Center (DPC) will be working on in the future. I had the task of counting the flaps to help ensure they are all photographed. I enjoyed that I was able to help a bigger team that will connect more people worldwide to the Four Seasons. It’s a genuinely unique and beautiful item, and who doesn’t love flaps? I also enjoyed seeing the many items that were on display at the annual Anatomy Day. Not only were the items themselves each incredibly interesting, but I also felt great joy at seeing the first-year medical students connect with the items and the history of medicine. So many students immediately flocked to a table that included Japanese medical manuscript notebooks from the early 19th century. These manuscripts include colorful hand-drawn illustrations and are a wonderful example of the advancements medicine can make when ideas are shared globally, as Japanese medical practice at the time was already influenced by Chinese, Portuguese, and Dutch medical practices. The entire event was a gorgeous fusion of medicine and art with examples from Leonardo da Vinci and Vesalius and more, with illustrations in pencil to watercolor, ranging from medicinal plants to anatomical theaters.

Exhibits, Featured, From Our Collections, History of Medicine, Students and Interns

A Love Letter

Post contributed by Michelle Wolfson, Josiah Charles Trent History of Medicine Intern.

This exhibit is based on a lot of things. Its main foci are the horrors and heroes of Hiroshima. Three out of forty-five hospitals remained standing after the atomic bombing of Hiroshima, though greatly damaged still, and according to numerous resources, 90-93% of doctors and nurses were killed or injured. The medical staff who survived suffered from pain—physical, emotional, and otherwise—and extreme uncertainty and fear, but gave the best care possible to their community. Even with rumors of the atomic bomb making for unsafe conditions for seventy-five years, they did not leave; and some came from outside the city with offers of help and supplies.

But what are the actual things in this exhibit and what do they mean? For me, it is an exhibit based on letters. Letters to oneself in the form of a diary  as seen in the Japanese manuscript written for the medical journal Teishin Igaku. A letter from an artist friend, relieved and grateful to hear of his friend’s survival, in the form of a beautiful scroll. The scroll’s contents were translated and sent by letter to eventually be included in the book that became Hiroshima Diary: The Journal of a Japanese Physician, August 6-September 30, 1945 . A letter—and it is one of many—about the book and the process of it, which serves as a window into the grace, gratitude, and genuine respect and friendship between two doctors. This even became a quest for a missing letter, perhaps Einstein’s last one before passing, still lost but, for me, an education in the world of archives anyway.

Handwritten manuscript for the medical journal Teishin Igaku.
Hiroshima Scroll.
Portuguese edition of Hiroshima Diary.
Letter from Dr. Michihiko Hachiya to Dr. Warner Wells.
A note from Dr. Wells about Einstein’s lost letter.

It is a story based on letters. This exhibit is my own contribution—a love letter to Hiroshima Diary and its creators, for teaching me about Hiroshima in a new way, and the medical staff and people who survived, as well as those that did not. This is what it is to me, and this is what I wanted to share with you. I hope you find meaning in it as I have.

Warmest regards,

Michelle

The exhibit, The Horrors and Heroes of Hiroshima, will be on display from August 17 to October 1, 2023, in the Josiah Charles Trent History of Medicine Room. An online exhibit is also available here. This exhibition was curated by Michelle Wolfson, the Josiah Charles Trent History of Medicine Intern. Wolfson is a graduate student in Library Science at East Carolina University and half-Japanese.

Consumer Reports, Featured, From Our Collections, Hartman Center, Students and Interns

Color Television on Fire

Post contributed by Blake Beaver, a graduate student intern for the John W. Hartman Center for Sales, Advertising & Marketing History.

A decade-plus institutional battle occurred between United States television networks, set manufacturers, and governmental agencies over implementing a technical color standard for TV. The National Television Standards Committee (NTSC)’s second standard, implemented in 1953, included color, allowing color television to compete with black-and-white in manufactured sets and programming. Finally, in the early 1970s, color television sales overtook those of black-and-white sets, and all three major television networks (ABC, CBS, and NBC) produced and aired color programs. However, several scares about the safety of color television sets from the late 1960s to the mid-1970s complicated the technology’s hard-won prominence. The radiation levels of color TV sets formed one primary concern. As Susan Murray documents in her history of color television, the panic was “likely exaggerated in its scope and potential dangers,” yet:

It succeeded in bringing to the surface anxieties about the connection between vision problems and television screens, a more general concern over the possibility of radiation leaks from everyday technological objects, a growing mistrust in science toward the decade’s end, and an underlying fear of nuclear war (Murray 2018, 247).

The Rubenstein Library’s recently acquired Consumer Reports Archives shed light on a second safety scare that plagued color television, previously undocumented in Murray and other scholars’ histories: fires.

image showing television set on fire
Product testing for a 19-inch color television set from the Consumer Reports Iconographic materials collection.

 

Relevant manuscripts from the Technical Department include correspondence with parties as diverse as television consumers, set manufacturers, government agencies, and legal firms, in addition to enclosed reports and ephemera like the National Commission on Product Safety’s press release from January 27, 1970, which publicized the color TV fire hazards. These manuscripts extend our understanding of cultural anxieties about color television beyond the radiation problem.

The collection’s first mention of the fire hazard controversy appears in a letter from consumer Frederick P. Schmitt to the Consumers Union on October 16, 1969. Schmitt attached a clipping of a Newsday article, “U.S. Is Checking TV Fire Danger,” published the same day, which reported on a presidential commission to investigate the fire hazards of color TV sets.

Newsday article on color TV fire hazards from the Consumer Reports Technical Department records.

 

Schmitt complained to the union that the government protected “the alleged culprits” by omitting the manufacturers’ names and inquired whether the union knew of “these potential killers” so he might prevent the “risk” of “danger” and “possibly death” from his color set. Unfortunately, per the response from Monte Florman, Associate Technical Director at the Consumers Union, the presidential commission refused to release information to the union and the public.

The National Commission on Product Safety’s release on the matter advised that “approximately 22 million color TV sets” were in use at the time and provided a staggering statistic about the disproportionate flammability of color television sets compared with their black-and-white counterparts: “a smoke and fire incident ratio” of “about 40 to 1.”

National Commission on Product Safety press release header from the Consumer Reports Technical Department records.

Although the commission’s press release applauded “the industry for its efforts” to ameliorate the hazards, not all television set manufacturers handled the controversy in this manner. We observe this fact in the collection’s most extensive exchange about the fire controversy, a series of letters from 1970 between consumer Melvyn L. Marks of Silver Springs, Maryland, Sylvania Entertainment Products, and the Consumers Union. Sylvania’s lackluster response to Marks, whose 21LC 28 M set experienced a fire in its “high voltage flyback transformer,” speaks to manufacturers’ inconsistent approach to such a crisis.

Melvyn L. Marks’s letter to Sylvania Entertainment Products from the Consumer Reports Technical Department records.

 

After repeatedly reaching out to Sylvania about their intentions to “correct or pay for correction of these faulty units,” which “other companies have publicized that they will,” Sylvania subjected Marks to the rigamarole of numerous follow-up communications and a comprehensive service history. Marks signs off in a particularly zesty follow-up, “Awaiting your long overdue reply.”

In addition to consumers, insurance companies and their legal representatives communicated with Consumer Reports. In a letter dated June 3, 1970, San Francisco-based attorney Warren Sullivan wrote the union on behalf of his client, Balboa-Newport Insurance Company, seeking the union’s assistance in “[recovering] [a] loss of $11,000, which occurred by reason of a fire to [their] assured’s home” and which they claim was caused by the client’s Sears & Roebuck “colored television set” catching fire or exploding “in the middle of the night while the set was in the ‘turned off’ position.”

These concerns over the flammability of color television sets continued into the mid-1970s. Tragically, some of these fires proved fatal. In 1973, a memo from the newly formed United States Consumer Product Safety Commission (CPSC), launched a year prior by the Consumer Product Safety Act (CPSA), announced “a possible fire hazard in 12,000 Zenith 19-inch table model color television sets,” in one instance causing the death of “several members of the family.’

This brief glimpse into an overlooked scandal in U.S. television history is just one example of the diverse research trajectories that the Consumer Reports Archives facilitate. In addition to consumer electronics, the Technical Department records collection includes materials on testing procedures, methods, data, and evaluations for appliances, automobiles, chemicals, foods, public services, special projects, and textiles. The collection is available at Duke University’s Rubenstein Library, and the finding aid can be found here.

References

Consumer Product Safety Commission, memorandum. September 13, 1973. Washington D.C. Consumer Reports. Technical Department records, David M. Rubenstein Rare Book & Manuscript Library, Duke University.

Melvyn L. Marks to Sylvania Entertainment Productions Division, letter. February 16, 1970. Silver Springs, M.D. Consumer Reports, Technical Department records, David M. Rubenstein Rare Book & Manuscript Library, Duke University.

Melvyn L. Marks to Sylvania Entertainment Productions Division, letter. May 18, 1970. Silver Springs, M.D. Consumer Reports, Technical Department records, David M. Rubenstein Rare Book & Manuscript Library, Duke University.

Susan Murray. 2018. Bright Signals: A History of Color Television. Durham, N.C.: Duke University Press.

National Commission on Product Safety, press release. “Commission Releases Information on Color TV Hazards.” January 27, 1970. Washington D.C. Consumer Reports. Technical Department records, David M. Rubenstein Rare Book & Manuscript Library, Duke University.

Warren Sullivan to Consumer Reports, letter. June 3, 1970. San Francisco, C.A. Consumer Reports. Technical Department records, David M. Rubenstein Rare Book & Manuscript Library, Duke University.

Featured, From Our Collections, History of Medicine, Travel Grants

Diseases, Drugs, and Dosages

A Q&A with Jeremy Montgomery, PhD candidate in History at Mississippi State University in the History of Science, Technology, and Medicine Node of Excellence and a History of Medicine Collections travel grant recipient.

What is your research project?

My dissertation examines the medical armamentarium in the United States between 1800-1860. Taking a synchronic view, my project seeks to describe medical education, knowledge production, and treatment options between the regions. It takes seriously the diverse medical marketplace by incorporating discussions about “regular” and “irregular” forms of medicine. In addition to the types of medical care, my project examines the black and white body, free and enslaved, also. Lastly, my dissertation discusses and describes symptomology, therapeutics, and Materia Medica within the early-to-mid nineteenth century.

The opening pages of the M.M. Haworth Diary.

 

What collection(s) did you use from Duke’s History of Medicine Collections?

While at the Rubenstein Library, I reviewed multiple sources. For this trip, I narrowed my search for sources that discussed Materia Medica and therapeutics. In particular, I reviewed the Peter Washington Little Manuscript, Notes on the Lectures of Materia Medica by Benjamin Barton, M.M. Haworth Medical Diary and Journal, Isaac Brooks Headen papers, Caleb Budlong Physician’s account books, Henry Fish Papers, Salisbury, [Mass.]., Lee Griggs daybook, Lee Griggs physician’s ledger, Lectures on the diseases of children, New Haven; Charles Watts papers, New Orleans, Physician’s account book, Lectures on Materia Medica and Therapeutics, Elements of Materia Medica and Therapeutics, On the Teaching of Pharmacology, Materia Medica, and Therapeutics in Our Medical Schools, Materia Medica and Therapeutics, and last but not least The Essentials of Materia Medica and Therapeutics.

What surprised you, or was an unexpected find, in the collection you used?

I was surprised by my findings in the M.M. Haworth Diary. From the opening pages (see above) to his prescription list, I found this to be a rich primary source. This source list the diseases and their prescription(s). The multiple prescriptions are revealing because this time period does not connect a particular pathogen to a disease so it may be argued that the treatments will be different. In addition, this source listed the dosages. The apothecary symbols next to the prescriptions allow greater depth with regards to the medical armamentarium in the nineteenth-century. In short, it was a great day!

A list of diseases with their prescriptions from the M.M. Haworth Medical Diary.

 

Anything else you’d like to share?

Yes! The History of Medicine Collections travel grant was my first travel grant I have received in my professional career, and it was generous. Furthermore, the staff at the Rubenstein Library are incredible. I had the pleasure of meeting Rachel Ingold—Curator, History of Medicine Collections. Rachel helped me navigate the application process and invited me for coffee when I arrived.  If she invites you for coffee, please accept. We discussed my project some more and she was able to point me to additional resources that I was able to view on my week-long trip. In fact, the M.M. Haworth Diary is an example of an additional source that Rachel was able to help me review on my trip.

Events, Featured, History of Medicine

The Strange Case of “Dr. Anonymous,” a Mystery in the Early History of Coronary Artery Disease : Passion, Discovery, and Serendipity in Book Collecting with Paul Kligfield, MD

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Date: Tuesday, April 11, 2023

Time: 5:30 p.m.

Location: Holsti-Anderson Family Assembly Room, Rubenstein Library Room 153

Contact: Rachel Ingold, rachel.ingold@duke.edu

Please join us on Tuesday, April 11, at 5:30 p.m. for our next Trent History of Medicine Lecture Series event. Paul Kligfield, MD, will present The Strange Case of “Dr. Anonymous,”  a Mystery in the Early History of Coronary Artery Disease :  Passion, Discovery, and Serendipity in Book Collecting.

William Heberden’s classic description of angina pectoris in the 18th century contained no speculation as to its cause, now known to be coronary artery disease.  Shortly after publication of his paper by the Royal College of Physicians, he received a letter from a man offering his body for autopsy to help search for a pathologic basis for his symptoms.  Indeed, death occurred within weeks of his correspondence and autopsy was performed by John Hunter.  The writer’s clinical description of his own symptoms of angina and impending sudden death was so medically accurate that historians have identified him as an unknown physician, described as “Dr Anonymous.”  Nearly half a century of interest in the history of cardiology, combined with passion and serendipity in medical book collecting, have now uncovered the true identity of Heberden’s previously unknown correspondent.  Come and share the discovery.

Paul Kligfield, MD, is Professor Emeritus of Medicine at Weill Cornell Medical College, whose interests in the history of medicine include the development and early use of the stethoscope, the origins and technology of the electrocardiogram, and the development of the pathophysiologic understanding of angina pectoris. Dr. Kligfield has served on the Board of Governors of the American College of Cardiology, as President of the International Society for Computerized Electrocardiography, as President of the New York Cardiological Society, as a Director of the New York Heart Association, as Secretary and Trustee of the New York Academy of Medicine, and as President of the American Osler Society. He is a member of The Grolier Club of New York and an admitted bibliophile and recovering bibliomaniac.

 

 

Featured, From Our Collections, History of Medicine, Students and Interns

The Ladies’ Physician fumbles the mic a bit but mostly drops it

Post contributed by Michelle Wolfson, Josiah Charles Trent History of Medicine Intern.

The History of Medicine special collection houses many exciting—and, dare we say, sexy—artifacts that draw the interest of students, staff, and researchers. The carved ivory memento mori is a thing of beauty. The amputation set invites people to picture themselves on a battlefield during the Civil War. Anatomy and dissection are contemplated as one looks at flapbooks and manikins.

But what draws me in? The written word. The books, the pamphlets, the zines—they are the voices echoing to me through time.

With abortion constantly in the news at this cataclysmic time, and with a young child with many questions about puberty, I threw myself into the History of Medicine Collections as its latest intern, wanting to know, “What do we say about puberty? About menstruation? About abortion? What do doctors say? What do mothers say? What does corporate America say? For heaven’s sake, what do we tell the children?!” Here is a small sampling of what the special collection offers.

Title page from The Ladies’ Physician: A Guide for Women in the Treatment of their Ailments.

The Ladies’ Physician: A Guide for Women in the Treatment of their Ailments by a London Physician is a book from 1884. This guide has several redeeming factors. It makes clear that it is the mother’s duty to inform their daughters of what to expect before menstruation begins. While not always feasible (what does one do when there is not a maternal figure in the child’s life?), I generally like the attitude that we do not leave young girls and women in the dark regarding their health. In some ways, the text is very thorough in covering many common issues that women might experience, including the more benign, such as leukorrhea (“the whites”, or simply, vaginal discharge), to the more serious, such as tumors and endometritis. This was somewhat shocking to me as, anecdotally, I hear from many women that their endometritis was ignored by health providers for many years before being properly diagnosed. Pregnancy and many of the possibilities an expectant mother might experience as the body changes are also covered—from varicose veins to constipation to neuralgia of the face.

The section on pregnancy begins with a quick history of how much has been discovered recently—such as how physicians can now say with certainty that a person is pregnant by using a stethoscope and auscultation. Only sixty years ago, our London Physician tells us, did a woman claim to be pregnant by the Holy Ghost and had many followers who believed her, including people in the medical field. (Actually, the London Physician says “medical men”, and I wondered if midwives were at all involved.) Different signs of pregnancy are written about, but we are also told that there may not be any signs at all, at which point, a story is told about a Mrs. G—–, which feels straight out of a modern showing of “I Didn’t Know I Was Pregnant”. Neither Mrs. G—– nor the neighborhood physician ever guessed she was pregnant, and indeed she was in labor and they still did not suspect that she was giving birth. Ten hours into labor, another doctor examined her and realized what was happening, though the expectant parents still did not believe it. The story has a happy ending—healthy mom, healthy and loved daughter. The London Physician also tells us that the opposite can occur, when a person thinks they are pregnant when they are not, whether it is due to false signs from tumors, an abnormal menstrual cycle, or simply gas or muscles twitching.

As one might expect, The Ladies’ Physician has its problems and questionable moments, too. The causes of puberty and menstruation are written about obtusely—I could not guarantee that a person without some prior knowledge of menstruation would completely understand what the book is saying happens during “the process which marks woman as woman.” (I will not even get into how this is not how we define “woman” anymore because now we know not all women experience menstruation.) The text also does not include visuals. At another time, the London Physician gives somehow not enough information by giving us too much information. We are initially told the average pregnancy is about nine or ten months, but the London Physician goes on for a distressing couple of pages about how some countries and cultures think that the duration of pregnancy lasts longer–three hundred days, or even going into years, the most being four years. (FYI: Elephants have the longest pregnancies of any land mammal, somewhere between eighteen to twenty-three months.) I do not know if this was simply an interesting point about varying belief systems, or to go back to the point about how physicians have recently learned more about pregnancy, or to cover all the bases of how long one might be pregnant in case somebody is incorrect.

One section regarding abortion was interesting to me, and I feel the need to quote it to get it exactly right. From pages 222-223, regarding severe cases of illness:

Pages 222-223 from The Ladies’ Physician

The cases in which such extreme measures are called for are of extreme rarity. It happens only when the mother’s life is in imminent and urgent peril; then it becomes a duty to act promptly and empty the uterus, and thus save the only life that can be saved, unless, indeed, it be in the later months of pregnancy, when both lives—the mother’s and the child’s—can in this manner be spared. Repulsive as it is to destroy the child, still it is the highest duty, and no hesitation should be felt in sacrificing it in circumstances stated, for unless this be done, and done promptly, not only the life of the child, but that of the mother will also be lost.

Another section about quickening was of interest from page 196. The London Physician does not think this is the moment a child is considered alive, instead that the

…embryo is alive from the first, though its life is a lower form of life than it is after the fifth or sixth month, just as the life of a child an hour before birth is a lower form of life than that it possesses an hour after birth.

They do not know when the child possesses a soul but

…[l]et it suffice here to say that from the time of conception there is life in the embryo, simple though it be when compared with the higher life of a born child or an adult man, yet too complex to be solved by the greatest philosopher. 

Page 196 from The Ladies’ Physician

I think the London Physician dropped the mic there, so I will end here as well.

Some of this blog post was written tongue-in-cheek, but that does not discount how I think on this book. In 1884, women had something to refer to that gave them reassuring and helpful information regarding their bodies. The information is given in a matter-of-fact manner, not sensationalized or hidden in shame (though we could work on some bits for clarification). It still leaves me with many questions—how many people had access to this book? Who was the London Physician? What did people do if they did not have access to a book like this? I am assuming they sought other women for advice, or at least I am hoping they did.

 

 

 

 

Featured, From Our Collections, History of Medicine, Travel Grants

Forceps, Women’s Rights, and Professional Turf War: American Pregnancy and Childbirth in the Twentieth Century

Post contributed by Haleigh Yaspan, Independent Researcher

Pregnancy and birth, as universal and unvarying phenomena, can offer a revealing and reflective view into a specific historical chapter. Careful attention to the dynamic nature of the circumstances that have historically defined the experiences of pregnant and birthing women can help us contextualize and better understand our present moment. The relationship is bidirectional: so too does an exploration of historical factors help shed light on the rationale for trends in the medicalization of birth. The aid of a generous History of Medicine travel grant allowed me to spend time with a number of fascinating collections at Duke’s David M. Rubenstein Rare Book & Manuscript Library that can offer such insight. These included, for example, the collection of medical instruments from the practice of Dr. LM Draper, the Louise Hortense Branscomb papers, and the Wilton G. Fritz Collection Artifacts.

In the United States, the circumstances of birth changed dramatically toward the end of the Progressive Era. Prior to the twentieth century, the care of pregnant and birthing women was most commonly the domain of midwives and other female practitioners, who were not incorporated into a recognized professional body. The shift toward a physician-centric approach can be traced back to a revolution within the medical profession, beginning in the late 1800s and continuing well into the following century. The wide variety of obstetrical tools surviving from Dr. LM Draper’s twentieth-century collection offers insight into standard practices of American physicians of the day. I was particularly intrigued by the array of various iterations of forceps, insinuated as they are in the medical profession’s early- and mid-century proclivity toward instrumental intervention in labor, an intentional move to set physicians apart from low-interventionist midwives.

a pair of metal forceps
Obstetrical forceps had been invented in the seventeenth century, although their use was not widespread until much later.

 

The glass slides for Dr. Carter’s OB/GYN lectures provided a window into the education aspect of the medical approach to obstetrics. Such primary sources set forth the gold standard of mid-century medical education of the day. The use of visuals in the slides informs an understanding of the historical pedagogical practices in this field, while the language employed clues us into the sociocultural milieu that circumscribed and defined medical education of the day.

American medical students learned about the history of childbirth, which had not traditionally been considered the purview of medical practitioners.

 

The medicalization of birth that took shape in the early twentieth century has attracted both celebration and criticism. Many have critiqued physicians, both in this period and since, for their quickness to instrumentally intervene in birth and their failure to outperform more hands-off midwives in terms of clinical outcomes. In the early twentieth century, Abraham Flexner, under the aegis of the Carnegie Foundation, set out to survey the state of medical education in the United States and Canada. His 1910 report eviscerated the medical profession, suggesting that a vast majority of American doctors were woefully unqualified and had received what little education they possessed from institutions of highly dubious rigor and quality. “But the very worst showing,” he noted, “is made in the matter of obstetrics.”

Consumer Reports, Featured, From Our Collections, Hartman Center

The Consumer Reports Archive

Post contributed by Joshua Larkin Rowley, Reference Archivist, John W. Hartman Center for Sales, Advertising & Marketing History

The Hartman Center for Sales, Advertising & Marketing History acquired the archive of Consumer Reports, the consumer advocacy and education non-profit, in October of 2019.  Staff were thrilled with the new acquisition and eager to make these fabulous collections available to researchers as soon as possible.  Then…the pandemic hit.

Finally, after nearly three years and hours of work by staff and interns in the Rubenstein Library’s Technical Services Dept. approximately 65 individual collections have been fully described and made available.  To mark the occasion we’ve published a website dedicated to highlighting the breadth of the Consumer Reports Archive, the history of the organization, a selection of archival collections, recently cataloged print items, and its interdisciplinary potential in teaching.  Explore the site here and check out some highlights from the collection below.

Two fake mouths mounted on a cylinder with red lipstick residue from testing.
Lipstick tester from the testing equipment collection.
Image showing cover of Consumers Union Reports.
First issue of Consumer Reports, May 1936.
Letter on Consumers Union letterhead.
Consumer Reports founder Colston Warne’s sworn statement that he’s never been a member of the Communist Party, April 1953, from the Colston Warne Papers
Image showing pen testing equipment with six pens writing on a white sheet of paper.
Pen tester from Consumer Reports Iconographic Collection.
image showing a room of television sets
Television set test from the Consumer Reports Iconographic Collection.
Bingham Center, Do Your Research, Featured, From Our Collections, History of Medicine

The Rubenstein Library’s disruptive copy of A Curious Herbal

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Post contributed by Janet Stiles Tyson, independent researcher.

colored picture of fig plant
Hand-colored etching of fig, from Rubenstein copy of A Curious Herbal. Photo credit Janet Stiles Tyson.

This blog post concerns a copy of a historically significant English herbal, held by the Rubenstein Library. Along with its producer Elizabeth Blackwell, A Curious Herbal[1] comprised the topic of my PhD thesis for Birkbeck College, University of London. It remains the focus of my post-doctoral research.

She was born in London in 1699 as Elizabeth Simpson, and married to a Scotsman named Alexander Blackwell. She made 500 life-size watercolor drawings of medicinal plants and translated those drawings on to etching plates, which were then sent to a printer to be produced as black-and-white multiples. After printing, Blackwell used watercolor paint to color many of the imprinted images. Between mid-1735 and mid-1739, those images were sold in fascicules or gatherings of four pages each. Each fascicule also included a page of text explaining the use of the four illustrated plants. Gatherings that contained four uncolored images cost one shilling; each group containing four colored images cost two shillings. Buyers compiled their pages (along with title pages, indexes, and other leaves that were printed and distributed) and had them bound—typically into two folio-format volumes.

Image showing text from title page of A Curious Herbal
Volume One title page from Rubenstein copy of A Curious Herbal. Photo credit Janet Stiles Tyson.

Blackwell’s first publisher was Samuel Harding, whose name is found on title pages dated 1737. The name of Blackwell’s second publisher, John Nourse, is found on title pages dated 1739 and 1751. Copies also exist that were published under the name of Charles Nourse and dated 1782. However, composition and dating of extant copies isn’t as straightforward as this summary suggests, which is why much of my ongoing research involves finding and viewing as many copies as I can. Thus far, I have found about 110 copies, and have examined every single page of about sixty-five.

This brings me to the Rubenstein Library copy, which I visited in early August of this year [2022]. I first learned of it from catalogues for auctions held by Sotheby’s and Christie’s between 1981 and 2017. Online color photographs and verbal descriptions left me in no doubt about its beauty and importance. It was printed on extra-large folio sheets of paper, such that it measured about 18-by-12 inches in height and breadth. Pictures showed that its two volumes were bound in gold-stamped black morocco leather, and that the edges of its pages had been finished in gold. It also was evident that the plates had been colored with great care and subtly.

It originally had been owned by a London apothecary named Josiah Messer (1753-1830), whose signature was inscribed on the verso of the title page. A watercolor drawing and a hand-colored etching had been inserted at the back of volume one. Bookplates for another, presumably later, owner named George Hubbard were affixed to the marble endpapers in each volume. Assuming that its last sale at auction had been to a private collection, it seemed that I would never see Josiah Messer’s copy of A Curious Herbal.

Thus I watched, incredulously, as Rubenstein librarians removed the two volumes of the Messer copy from their archival boxes.

image showing page of text from preface
Blackwell preface from Rubenstein copy of A Curious Herbal.

I began carefully turning its pages. Messer’s signature was on the reverse of the title page. There were the customary two pages of endorsements by various medical men. There were five lavishly etched and engraved dedicatory leaves that I knew from other copies. And there was a blank leaf where the first explanatory page should have been. Briefly perplexed, I decided that explanatory pages had been arranged to face the first image of each group of four. I’d seen that in other copies and would duly note.

I turned the page to find its verso filled with words from top to bottom, facing the front of another densely printed page. The word ‘Preface’ topped the first, and at the bottom of the second was the name ‘Elizabeth Blackwell’, and the legend: ‘Chelsea April ye 12th 1739’. After some preliminaries were the words:

I from my very Infancy shew’d an Inclination to imitate Pictures and

to attempt drawing such Things as pleased me; Whether this

proceeded from the strong impressions made on my tender Brain by

the agreeable Objects I was daily surrounded with (my Father Mr.

Leonard Simpson being a Painter) or a Genius born with me I can’t

determine.

A shiver of excitement shot from my head to my fingertips at ‘my Father Mr. Leonard Simpson being a Painter’. Hurriedly I told the librarians about this discovery, then returned to my table to email my Birkbeck supervisors, Vanessa Harding and Carmen Mangion. Both promptly messaged their kudos. Then, as I finished reading Blackwell’s preface and proceeded to examine and photograph further pages, Harding sent me another email.

Applying decades of research experience, Harding quickly found two other documents that cited Leonard Simpson by name. One announced the birth of a daughter to ‘Mr Leonard Simpson Designer in Paintings’, who lodged with a ‘Mr Simpson shoomaker of the Parish of St Mary Woolchurchhaw’. Dated ‘Aprill 1699’, it stated that daughter Elizabeth was born on the ‘three and twentith day of this moneth’ and  ‘baptized the 4th of May following’. The second document further noted that shoomaker Simpson’s dwelling was ‘next door to the White Horse in Poultry’.

color image of white waterlilly against a green lily pad
Hand-colored etching of white waterlily from Rubenstein copy of A Curious Herbal. Photo credit Janet Stiles Tyson.

Over the years, I’ve found other Simpson references, including information that identified Blackwell’s mother’s name as Alice. But the Rubenstein copy holds the key to confirming Elizabeth Blackwell’s birth date and place. So much more could be said about this book and its illustrations, and the myriad curious tales of Elizabeth Blackwell. And perhaps further research will find further copies of that preface. For now, however, I hope that I have communicated the importance of this object at Duke University.

Works cited

Blackwell, Elizabeth (1737). A Curious Herbal. Containing Five Hundred Cuts of the most useful Plants, which are now used in the Practice of Physick. Engraved on folio Copper Plates, after Drawings, taken from the Life. By Elizabeth Blackwell. To which is added a short Description of ye Plants; and their common Uses in Physick. London: Printed for Samuel Harding in St Martin’s Lane, MDCCXXXVII (1737) Rubenstein QK99.A1 B53 1737 folio v.1 c.1.

London Metropolitan Archives. Parchment register of the parish of St Mary Woolnoth, 1686-1726: LMA, P69/MRY15/A002/MS07636.

London Metropolitan Archives. Paper register of the parish of St Mary Woolnoth, 1695-1706: LMA, P69/MRY15/A/002/MSo7636.

[1] Full title: A Curious Herbal. Containing Five Hundred Cuts of the most useful Plants, which are now used in the Practice of Physick. Engraved on folio Copper Plates, after Drawings, taken from the Life. By Elizabeth Blackwell. To which is added a short Description of ye Plants; and their common Uses in Physick.