Category Archives: History of Medicine

Gilded Age Cures for Soldiers Suffering from Opiate Addiction

Post contributed by Jonathan S. Jones, historian and PhD candidate at Binghamton University

In the Civil War’s wake, thousands of veterans became addicted to medicinal opiates. Hypodermic morphine injections and opium pills were standard remedies in the Civil War era for amputations, sickness, and depression, and they often lead to addiction. Take, for example, the case of A.W. Henley, a Confederate veteran, who recalled in 1878 that, “In the army, I had to use opiates for a complication of painful diseases.” The medicine soon “fastened its iron grip on my very vitals, and held me enchained and enslaved for near fifteen years.”[i]

Historians have long recognized the causative link between Civil War medical care and the high rate of opiate addiction among veterans. However, although we know that doctors were in many ways the originators of the postwar addiction epidemic, we know surprisingly little the about the medical response to the crisis. Did American doctors ignore the opiate addiction among veterans, or did physicians seek to help veterans suffering from addiction? And if so, what did those efforts look like?

These are questions I seek to answer in my dissertation, “A Mind Prostrate”: Opiate Addiction in the Civil War’s Aftermath.” My research benefited greatly from a History of Medicine Collections Travel Grant, awarded by the Rubenstein Rare Book & Manuscript Library. The History of Medicine Collections at the Rubenstein Library includes several manuscripts and rare items that suggest answers to elusive questions about the medical responses to Civil War veterans’ opiate addiction.

THE BLAME GAME

Physicians fell under a wave of criticism after the Civil War for causing opiate addiction crisis. Veterans and observers in the media accused doctors of overprescribing opiates to ailing old soldiers and other patients, resulting in widespread opiate addiction. This criticism posed a problem for physicians—so-called “regular” doctors—because it undermined their precarious position in the hyper-competitive Gilded Age medical marketplace. Physicians had been struggling to out-compete alternative healing sects and “quacks” for decades. Being labeled the culprits for the crisis only weakened the regulars’ footing in this struggle.

CHANGING PRESCRIBING PATTERNS

In response to this professional crisis, some physicians advocated for a move away from prescribing medicinal opiates. During the 1870s and 1880s, ex-military surgeons, in particular, exhorted their colleagues in medical journals and scientific studies to prescribe fewer opiates, to substitute the drugs with supposedly less-addictive painkillers, and even to refrain from prescribing opiates altogether. As the ex-Union surgeon Joseph Woodward surmised in 1879, “The more I learn of the behavior of such cases [of overprescribing] under treatment, the more I am inclined to advice that opiates should be as far as possible avoided.”[ii] Such proposals were truly radical, considering that opiates were the most commonly prescribed medicines of the nineteenth century up to that point.

But did physicians heed these warnings? Were radical proposals merely hypothetical, or did physicians implement them in practice? To answer these questions necessitates the close analysis of late nineteenth century clinical records. I was fortunate enough to stumble across one such record in the History of Medicine Collections at the Rubenstein Library, a rare casebook from the Philadelphia Orthopaedic Hospital and Infirmary for Nervous Diseases, professional home of the physician Silas Weir Mitchell.

Pages with handwriting in ink.
Casebook from the Philadelphia Orthopaedic Hospital and Infirmary for Nervous Diseases, professional home of the physician Silas Weir Mitchell.

An eminent neurologist, Mitchell was one of the most vocal members of the anti-opiate camp. Mitchell—whose infamous “rest cure” inspired the feminist Charlotte Perkins Gilman to write The Yellow Wallpaper, a feminist critique of Mitchell’s methodswas a prolific writer. In many of his medical works, he railed against the habit-forming potential of medicinal opiates and doctors’ role in facilitating opiate addiction. As Mitchell explained in an 1883 work about pain management, “often, in my experience, the opium habit is learned during an illness of limited duration, and for the consequences of which there is always some one to be blamed.” He blamed doctors who were “weak, or too tender, or too prone to escape trouble by the easy help of some pain-lulling agent” for causing their patients to develop opiate addiction.[iii] Doctors must refrain from prescribing opiates empathetically, Mitchell warned, lest the medical profession continue to be blamed for the opiate addiction crisis.

Accordingly, Mitchell’s clinical records confirm that he stopped prescribing opiates to chronic pain patients, those at greatest risk for addiction, in his own clinic. Mitchell’s clinic, the Philadelphia Orthopaedic Hospital, was the cutting edge of American neurology in the late nineteenth century. Doctors working there alongside Mitchell specialized in treating chronic nervous pains, headaches, and other symptoms classified under the diagnostic category of neuralgia. During the previous decades, most of these individuals would have been treated with opiates. Indeed, Mitchell prescribed opiates heavily during the Civil War, witnessing the genesis of opiate addiction in several of his patients. Yet by the 1880s, Mitchell reversed course. The clinic’s casebook reveals Mitchell did not prescribe opiates to a single patient among the 62 individuals for which he recorded clinical notes between 1887 and 1900.  Other physicians, I suspect, mirrored Mitchell’s increasingly conservative approach to prescribing opiates during the Gilded Age.

THE COMPETITION

But physicians like Mitchell were not alone in responding to the Gilded Age opiate epidemic. Ailing Americans could choose from a vast spectrum of treatments and healers to remedy their medical woes during late nineteenth century. Unlike today, regular physicians were often outcompeted by alternative healers during the Gilded Age. So-called “quacks”—at least, that is what physicians dubbed them—often impinged on physicians’ customer bases.

Dozens of entrepreneurial healers spotted new commercial opportunities amidst the rising rates of opiate addiction. They invented and marketed a diverse array of treatments for opiate addiction between the late 1860s and the turn of the twentieth century. John Jennings Moorman, the proprietor of a nineteenth century West Virginia hot springs resort, exemplified this trend. I encountered a rare copy of Moorman’s 1880 advertising pamphlet for his White Sulphur Springs resort in the Rubenstein Library. Founded in the late 1830s, Moorman marketed his exceedingly popular hot springs as a cure for a diverse spectrum of diseases during the antebellum years, from rheumatism to neuralgia, jaundice, scurvy, and others.

Blue pamphlet
Front cover of Dr. J. J. Moorman’s pamphlet about the curative properties of White Sulphur Springs in West Virginia, 1880.

Always looking to expand his enterprise, Moorman perceived an opportunity in the rising rates of opiate addiction after the Civil War. Naturally, he expanded his operation to cater to opiate addicted customers desperate for a cure. Moorman began marketing White Sulphur Springs as a treatment for “opium eating” in 1880. Prior versions of Moorman’s marketing material do not include references to opiate addiction.[iv]

Paragraph titled "Use of the Water b Opium Eaters"
Page from Dr. J. J. Moorman’s pamphlet: White Sulphur Springs, with the analysis of its waters, the diseases to which they are applicable, and some account of society and its amusements at the Springs, 1880.

As Silas Weir Mitchell’s casebook and John Jennings Moorman’s advertising pamphlet indicate, Gilded Age medical practitioners responded to the opiate addiction crisis in diverse ways, from prescribing fewer opiates to marketing hot springs therapy for addiction. The rare medical manuscripts held by the History of Medicine Collections at the Rubenstein Library thus made significant contributions to my research, unlocking answers to elusive questions about the various medical responses to Civil War veterans’ opiate addiction.

—————————————————————

[i] Basil M. Woolley, The Opium Habit and its Cure (Atlanta: Atlanta Constitution Printer, 1879), 30.

[ii] Joseph Woodward, The Medical and Surgical History of the War of the Rebellion, Pt. II, vol. I (Washington D.C.: Government Printing Office, 1879), 750.)

[iii] S. Weir Mitchell, Doctor and Patient (Philadelphia: Lippincott Company, 1888), 93.

[iv] J.J. Moorman, White Sulphur Springs, with the analysis of its waters, the diseases to which they are applicable, and some account of society and its amusements at the Springs (Baltimore: The Sun Book and Job Printing Office, 1880), 25-26.

 

Records of Births and Deaths in a 19th Century Small Town

Post contributed by Taylor de Klerk, Josiah Charles Trent Intern for the History of Medicine Collections

A pair of books, nearly identical in appearance, live on the shelves of the Rubenstein Library. Both are beautifully bound and were clearly well-maintained by their original owner, Dr. Charles Brayton, who used them throughout his 19th century career. Despite their outward similarities, these books are almost exact opposites. Brayton kept one volume to document the births he attended and the other to record deaths in the same community: Stonington, Connecticut.

As a practicing physician from the 1870s to the early 1900s, Brayton provided care for many members of this community, which numbered around 6,000 to 8,000 at various points in his career. These books give us a sense of what life in 19th century New England was like, thanks to Brayton’s thorough records.

Each volume documents different types of information. The “List of Births” included the date (and sometimes time) of each birth, the child’s name and gender, the parents’ names and ages, and the baby’s surname. Dr. Brayton also sometimes described the parents’ race, where they were originally from, and any significant details about the birth. The timeline for this volume extends so far that it includes some instances where the babies Dr. Brayton had delivered later grew up and he delivered their children as well.

Photograph of an excerpt from Brayton's Record Book. It's written in cursive on slightly yellowed lined paper. It provides details like the date and time of the birth of Theodora Sylvia
Entry for birth of Theodora “Dora” Sylvia, July 3, 1877

Tracing new mothers back to their own births happens on several occasions, including for Theodora “Dora” Sylvia Holland. Dr. Brayton delivered Dora at 10:15pm on July 3rd, 1877. His notes indicate that this is Theodora A. Daveny Sylvia’s fifth labor, but there are no anecdotes or records of complications. Reading through his notes from the decades that followed, Dora’s name reoccurs several times. Dr. Brayton delivered six of her children! Dora’s first adult occurrence in this book (after her own birth of course) was in 1896 for her second labor. Mrs. Dora Sylvia Holland gave birth to a baby boy at 5:50pm on May 11, 1896.

Another photograph of an excerpt from Brayton's Record Book. It's handwritten in cursive. It lists the details of the birth of John T. Holland Jr.
Entry for birth of John T. Holland, Jr., May 11, 1896
Photograph of entry for death of William Hyde. It is written and cursive and appears to take up a whole page
Entry for death of William Hyde, M.D., September 25, 1873

Conversely, Brayton’s “Record of Deaths” lists the date of each individual’s death, their name, approximate age (if he knew), and reason of death. For some individuals, he also included their relation to other community members and their place of birth. On some occasions Brayton included even more information, such as a narrative of the events leading up to the death.

This is the case for Dr. William Hyde, who died of consumption at 64 years old after spending nearly half of his life with the disease. Dr. Brayton describes Hyde as “a good friend to me and my preceptor in the study of medicine.” Brayton undoubtedly experienced a strong reaction to the passing of his teacher. Brayton’s record goes on to eulogize Hyde by listing his family and accomplishments, though unfortunately none of his five children lived longer than Hyde himself.

Records like these shed light into the practices of those that lived centuries ago. We use these books and others to help Duke medical students and undergraduates understand the historical context of the practices that they learn about in their coursework. Dr. Brayton’s records help us see the ways of life in 19th century small-town Connecticut, even if just through the lens of one man’s professional career.

Dr. Brayton’s List of Births and Record of Deaths are available to view in the Rubenstein Library’s reading room. Click here for more information about using our collections.

Applications Now Accepted for the 2019-2020 Travel Grant Program

The David M. Rubenstein Rare Book & Manuscript Library is now accepting applications for our 2019-2020 travel grants. If you are a researcher, artist, or activist who would like to use sources from the Rubenstein Library’s research centers for your work, this means you!

The Sallie Bingham Center for Women’s History and Culture, the John Hope Franklin Research Center for African and African American History and Culture, the John W. Hartman Center for Sales, Advertising & Marketing History, the History of Medicine Collections, the Human Rights Archive, and the Archive of Documentary Arts, will each award up to $1,500 per recipient ($2,000 for international applicants to the Human Rights Archive) to fund travel and other expenses related to visiting the Rubenstein Library. The Rubenstein Library also awards up to $1,500 for individuals who would benefit from access to our gay, lesbian, bisexual and transgender history collections through the Harry H. Harkins, Jr. T’73 Travel Grant.

The grants are open to undergraduate and graduate students, faculty, independent scholars, artists, and activists who live more than 100 miles from Durham, North Carolina, and whose research projects would benefit from access to collections held by one of the centers listed above.

More details—and the grant application—may be found on our grants website. Applications must be submitted no later than 5:00 PM EST on January 31, 2019. Recipients will be announced in March 2019.

Exhibit and Symposium: Arabic Medicine Conquers Latin Europe, 1050-1300: Methods and Motives

Image from a manuscript showing a drawing of a person designed to show their anatomy, including the circulatory and digestive systems. There is writing in Persian
From Unidentified Persian text on human anatomy, between 1500 and 1699

Please join us on November 1 and 2 for Arabic Medicine Conquers Latin Europe, 1050-1300: Methods and Motives, a symposium held at Duke University.

Thursday, Nov. 1, 2018, 5:00pm
Holsti-Anderson Family Assembly Room, Rubenstein Library Room 153

5:00PM: Exhibit tour
With curators Sean Swanick and Rachel Ingold

5:30PM: Keynote lecture
Cristina Alvarez Millán of the UNED (Madrid), “Arabic Medicine in the World of Classical Islam: Growth & Achievement”
Reception to follow

Friday, Nov. 2, 2018, 10 a.m.- 3 p.m.,
Carpenter Conference Room, Rubenstein Library Room 249
10AM-3PM Symposium featuring:
Eliza Glaze (Coastal Carolina University)
Francis Newton (Duke)
Michael McVaugh (UNC – Chapel Hill)
Joseph Shatzmiller (Duke)

The event coincides with an exhibit, Translation and Transmission an Intellectual Pursuit in the Middle Ages: Selections from the History of Medicine Collection on display in the Josiah Charles Trent History of Medicine Room from October 16, 2018 – February 2, 2019.

Scan of a page from a 1593 printing of an earlier Arabic medical text. It looks like a title page with decorative stamps and larger writing in Arabic
Avicenna. Libri V. canonis medicinae … Arabice nunc primum impressi. Romae : Typ. Medica, 1593.

 

Understanding the Eye through Pictures

Post contributed by Wenrui Zhao, a Ph.D. candidate in the History Department at Columbia University and a History of Medicine Collections travel grant recipient

What did people know about the anatomy of our eyes and the causes of eye diseases in Europe in the sixteenth and seventeenth centuries? How did they understand vision and think about the sense of sight? My dissertation “Dissecting Sight: Eye Surgery and Vision in Early Modern Europe” tries to answer these questions. Thanks to a generous History of Medicine travel grant, I could consult the wonderful collections at the David M. Rubenstein Rare Book & Manuscript Library to support my project.

The absolute highlight of my visit is the book Ophthalmodouleia, das ist Augendienst by the German surgeon Georg Bartisch, published in 1583 in Dresden. It is one of the earliest publications on eye diseases and eye surgery, and is written in vernacular German. Bartisch was a man of modest upbringing who never received university medical training, yet he was appointed oculist to the Elector of Saxony late in his life.

Bartisch’s treatise is about the mechanism of seeing, but also enacts an experience of seeing. The most striking feature of this book is the great number of finely-executed illustrations alongside the texts. These woodcuts depict various subjects related to ocular disorders and surgical techniques. The Rubenstein Library has one of the very few hand-colored copies of this treatise. While I have already seen this edition in black and white elsewhere, examining this beautiful hand-colored copy was a very different experience and brought new insights.

Color photo of movable flap illustration from Ophthalmodouleia, das ist Augendienst showing the interior of the head.

Two sets of the illustrations are movable flaps, representing the internal structure of the head and the anatomy of the eye respectively. The red blood vessels, light brown iris, and the meticulous shading and cross-hatching help distinguish different parts of the eye. They evoke the ocular surgical procedure, and prompt the readers to ponder their own faculty of vision when they lift these sheets layer by layer.

Color photo of movable flap illustration from Ophthalmodouleia, das ist Augendienst showing the anatomy of the eye.

Color photo of illustration from Ophthalmodouleia, das ist Augendienst showing a pair of scissors highlighted in gold and silver.Some of the images representing surgical tools were even heightened by gold and silver, such as this pair of scissors, thereby accentuating their intricate and elegant design.

Bartisch’s Ophthalmodouleia represents an emergent interest in the anatomy and physiology of the eye from the late sixteenth century. It also serves as a great example of how medical knowledge could be visualized and communicated at that time.

What You Can Do Yourself: Home Health Guides in the History of Medicine

Photograph of colored plate in book illustrating various uses for water to promote health. Figure 1 is a band standing in a bathtub, Figure 2 is a woman seated at a table, using a tube connected to a bag of water to rinse her nose, Figure 3 is a woman seated in a chair with her feet in a shallow tray of water Figure 4 is a man lying on a low mattress with the back of his head resting in a a shallow tray of water
“Methods of Applying Water” from New Curative Treatments of Disease… vol. 1, (1901) Fig. 1 – Exercising in a cold bath, Fig. 2 – Nasal douche, Fig. 3 – Foot bath, Fig. 4 – Head bath

What is that rash? What should you do if you have a snakebite? Are carrots really good for one’s health? What does chicken pox look like?

Long before WebMD and other online tools existed, popular medicine guides were created and consulted to answer such questions. In the United States, there is a long tradition of such home health guides designed to help the common person diagnose and treat illnesses. These guides, often physician-approved and authored, included ways to prevent illness and injury while offering instructions and remedies.

Home health guides offered laypeople (assuming they could read) information on a range of topics: basic anatomy, symptoms of illnesses, exercises for good health, “cures” by water or electricity, sexual education, and much more. These popular medicine guides continued well into the twentieth century with works like Our Bodies, Our Selves. Such works are still printed today in the digital age.

An exhibit featuring a sample of these popular medicine guides from our History of Medicine Collections is currently on display. You can visit the exhibit What You Can Do Yourself: Home Health Guides in the History of Medicine in the Josiah Charles Trent History of Medicine Room from July 24 – October 13, 2018.

Health Knowledge : A Thorough and Concise Knowledge of the Prevention, Causes, and Treatments of Disease, Simplified for Home Use, vol. 2, (1921).

Nature’s Remedy: “All Druggists Sell the Dainty 25 Cents Box”

Post contributed by Erin Rutherford, Josiah Charles Trent History of Medicine Intern, 2017-2018

In early 1900s America, an individual seeking relief from myriad ailments could choose from myriad purported treatments. When looking to cure “indigestion, bad breath, loss of appetite, sick headache, and rheumatism,”[1] one could turn to an array of syrups, lozenges, tonics, or tablets. One such product, extremely popular for several decades, was Nature’s Remedy.

The man behind Nature’s Remedy, Augustus Henry Lewis, began his pharmaceutical career as a pharmacist in Bolivar, Missouri. Teaming up with his nephew James Howe, Lewis moved his company to St. Louis in 1901, soon becoming the A.H. Lewis Medicine Co.

Nature’s Remedy patent medicine tin. History of Medicine Artifacts Collection, 1550-1980s. Beyer Family Collection Artifacts, 18th century-circa 1935. Received from Dr. and Mrs. Emil C. Beyer. Box 8, Item hbeyer0031.

Tin boxes filled with Nature’s Remedy churned out of the factory. By 1906, the business had grown so much that it moved into “a handsome new building at the corner of Fourth and Spruce Streets.”[2]

 

Paper ad targeting women and girls
Identifier MM0227 Mother Nature – as Health’s Guardian. 1923. Medicine and Madison Avenue, Digital Collection. John W. Hartman Center for Sales, Advertising & Marketing History

 

Advertising campaigns described Nature’s Remedy as “Mother Nature in a pleasant, helpful form – all vegetable and a skillful blend of her own plan of insuring health.”[3] Slightly more descriptive circulars referred to the product as a vegetable preparation that “act[ed] on the stomach, liver, kidneys, and bowels.”[4] Marketing was so rigorous that the company enlisted a composer to produce a tune to popularize Nature’s Remedy. The first chorus from the 1928 sheet music, purchased to be played at home on a ukulele or banjo, reads as follows: “No matter whether you have wealth, Just as long as you have health, You ‘feel like a million!’ If you just wear a great big smile, You are in the latest style, You ‘feel like a million’ But when you wear a frown, And your health is run down, You feel bad, you look sad, At the whole world you are mad! And then you follow nature’s course, Banish all of that remorse, You ‘feel like a million!’”[5]

Black and white bilboard advertisements.
Item ID AAA7481, Nature’s Remedy digestive aid tablets, Dentyne gum, Doran’s Coffee, Loveland (4 advertisements). Foster & Keisler (Placement Company). Outdoor Advertising Association of America (OAAA) Archives, 1885-1990s. [1900s-1910s].

Black and white billboards.
Item ID BBB4564, Wheat, Cigarettes, Gasene Naphita Soap, Natures Remedy Tablets, Fatima Cigarettes, Fatima Cigarettes, Adams Black Jack Chewing Gum, unknown, Holsum Bread (9 advertisements). Foster & Keisler (Placement Company). Outdoor Advertising Association of America (OAAA) Archives, 1885-1990s. Undated.

What ingredients did these tablets contain? A chemical analysis conducted on the product in 1923 by the Journal of the American Medical Association showed the presence of burdock, juniper berries, sarsaparilla, mandrake, rhubarb, dandelion, prickly ash, aloes, cascara, and Belladonna root.[6] A write up in JAMA went on to delicately allude to its effects: “The manufacturers of these tablets direct the purchaser to take one every night for a week. They very kindly allow the sufferer (from the effect of the tablets) a few days to recuperate and then suggest that the week of torment be repeated and if this is survived, another few days of rest is allowed before another round of torture and so on ‘until the bowels become strong enough to do their work.’”[7]

Whether of the belief that the product was a nostrum, a placebo, a bonafide cure, or a temporary comfort, the list of contents – and Mr. Clark’s description – make the purpose of the pill clear: It was a cathartic mixture, a purgative, a laxative.

Although some may read the remedy itself as cause for a sour stomach, there is something rather kismet in this tale. Under the full leadership of Mr. Howe, the same “handsome” factory went on to manufacture one of America’s leading brands of antacid tablets.

[1] A.H. Clark, “Nature’s Remedy Tablets,” JAMA: Journal of the American Medical Association, March 1919. Quoted in American Medical Association, Propaganda Department, Miscellaneous Nostrums, 5th edition (Chicago: American Medical Association, 1923), 63.

[2] “A. H. Lewis Medicine Co. Outgrew Its Building,” The Pharmaceutical Era (35), 6 (1906), 639.

[3] Identifier MM0227 Mother Nature – as Health’s Guardian. 1923. Medicine and Madison Avenue, Digital Collection, John W. Hartman Center for Sales, Advertising & Marketing History. Retrieved from https://repository.duke.edu/dc/mma/MM0227

[4] American Medical Association, Propaganda Department, Miscellaneous Nostrums, 63.

[5] Waldon, W. Feel Like a Million. St. Louis, Mo.: A. H. Lewis Medicine Co., 1928. Print.

[6] American Medical Association, Propaganda Department, Miscellaneous Nostrums, 64.

[7] Ibid., 65.

Scanning the History of Medicine: Manikin Style

Post contributed by Rachel Ingold, Curator of the History of Medicine Collections

Human anatomical maniken showing internal organs
Ivory maniken in the History of Medicine Collection.

An engineer, conservator, and curator walk into a small space; a small space with a micro CT chamber surrounded by rooms that glow red with biohazards signs. What are they doing? Where could they be?

First a bit of background. The History of Medicine Collections here in the Rubenstein Library has a large collection of ivory anatomical manikins. In total, we have 22 ivory manikins, part of the Josiah Charles Trent Collection that was gifted to the University in 1956.

Scan of ivory maniken produced by Duke’s Micro CT scanner.

To say these ivory anatomical manikins are cool is an understatement. They are truly fascinating and beautiful. And a bit mysterious. Scholars are not entirely clear on why they were created or their intent, which likely evolved over time. The delicate figures in our holdings average about eight inches in length and were probably initially used for instructional purposes, to help medical students learn human anatomy. But how easy were they to use? Did the didactic intent fall by the wayside as these turned into collectibles? We speculate these were carved in the seventeenth or eighteenth centuries, but we’re not entirely sure.

With so much interest in the ivory anatomical manikins and so much to learn, we considered what it would take to digitize these to share with a wider audience. Last April, we began to scan these items using Micro CT scanning in Duke’s Shared Materials Instrumentation Facility (SMiF) – a magical space with lots of heavy equipment (and some rooms that glow red – although not the room where these are scanned).

Scanning the ivory manikins has been a true team effort with much assistance from our friends in Conservation and Justin Gladman, an engineer working in SMiF.  We hope to complete scanning by the summer and turn to focusing on processing and uploading files to a site for the world to see. And yes, once this is done, they can be 3D printed. !!!! Stay tuned as we continue to move forward with our project. You can read more on Duke Today and the Preservation Underground Blog.

Computer image of the front of the maniken.
Scan of ivory maniken.

May 23rd: The Menopause Monologues

Color illustration of the anatomy of the uterus and ovaries. From The Viavi Gynecological Plates: Designed to Educate Mothers and Daughters Concerning Diseases of the Uterine Organs by Hartland Law. The Viavi Press, 1891.
Plate II, “Structure of Womb and Ovaries” from The Viavi Gynecological Plates: Designed to Educate Mothers and Daughters Concerning Diseases of the Uterine Organs by Hartland Law. The Viavi Press, 1891.

Date: Wednesday, May 23, 2018
Time: 3:00pm to 4:30pm
Location: Holsti-Anderson Family Assembly Room, Rubenstein Library 153
Contact: Rachel Ingold, rachel.ingold@duke.edu,
RSVP or share via Facebook (optional)

You are cordially invited to a dramatic reading of excerpts from pertinent texts that will bring to life the voices of women and men, past and present, whose perspectives on menopause range from “the historical to the hysterical.” In addition to the readings, individuals are also encouraged to share their own stories and experiences of “the change.”

The reading complements an exhibit, The Change of Life: Menopause and Our Changing Perspectives, on display through July 14 in the Josiah Charles Trent History of Medicine Room.

Co-sponsored by the History of Medicine Collections and the Sallie Bingham Center for Women’s History and Culture.

April 30: Trent History of Medicine Lecture Series: Contraception Crossroads

Date: Monday, April 30, 2018
Time: Noon (12 p.m.)
Location: Holsti-Anderson Family Assembly Room, Room 153, Rubenstein Library
Contact: Rachel Ingold, rachel.ingold@duke.edu, (919)684-8549

Photo of Dr. Raul Necochea in his office, with bookshelves behind him.Please join us Monday, April 30th at noon for our next Trent History of Medicine Lecture Series. Raul Necochea, Ph.D., will present Contraception Crossroads: Health Workers Encounter Family Planning in Mid-20th Century Latin America.

 Between the 1930s and the 1970s, health workers of different types began to embrace, slowly and selectively, the value of smaller families for all people in the region as well as to become used to new types of contraceptive technologies. What were the circumstances under which physicians, nurses, midwives, and social workers first encountered the use of birth control in Latin America? What they did do to advance and limit the use of contraception? How did they interact with birth control users? The answers to these questions help us better understand the context and the mindsets of people on the forefront of a momentous development: the normalization of family planning in the so-called Third World.

Dr. Nechochea is Associate Professor in the Department of Social Medicine & Adjunct Associate Professor, Department of History at the University North Carolina, Chapel Hill.

All are welcome to attend. Light lunch will be served.

Sponsored by the History of Medicine Collections in the Rubenstein Rare Book & Manuscript Library.