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Dr.
Harvey Cushing was considered the greatest neurosurgeon
of our century. He is credited with creating the field of
brain surgery as a surgical discipline.
Cushing
was born from American pioneering stock in Cleveland, Ohio
on April 8, 1869. He attended Yale University, playing baseball
and was elected to Scroll and Key.
Graduating
in the Spring of 1891, Cushing entered Harvard Medical School
in the Fall and completed his MD and Master of Arts degrees
in 1895. His post-graduate training first took place at
the Massachusetts General Hospital as a House Officer (intern);
then at the newly established Johns Hopkins Hospital in
Baltimore. At Hopkins he came under the influence
of several famous physicians: William H. Welch, Howard A.
Kelly, Sir William Osler and William Halsted. It was Halsted
who greatly influenced Cushing's surgical skills by his
own exquisite operative technique, respect for tissues,
homeostasis and meticulous pre- and post-operative care
of patients.
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During
the first decades of the twentieth century Harvey Cushing
set the ground work for a separate field of neurological
surgery, beginning at the Johns Hopkins Hospital and later
as Surgeon in Chief at the Peter Bent Brigham Hospital in
Boston. He developed many of the tools and techniques of
surgical practice which are still in use today. For example,
he was one of the first physicians in the US to use x-rays
to diagnose patients; he introduced an apparatus to measure
blood pressure during operations; he recommended keeping
a record of the patient's vital signs during operation and
he was the first to use electrocoagulation for surgery.
Metal clips for blood vessels, re-transfusion of blood,
cotton patties...you name it, he probably first described
it.
Cushing
achieved worldwide recognition because of his innovation,
energy and skill. He published widely his careful observations.
He trained the first generation of neurosurgeons in the
U.S. His assistant, Elizabeth Eisenhart became the first
woman trained in neurosurgery. At the end of his career
his disciples rewarded him by founding one of our first,
national neurosurgical associations as the Harvey
Cushing Society (now the American Association of Neurological
Surgeons).
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Cushing
had many other talents: athlete, artist, author, bibliophile.
As a house officer, he would do back flips off of the Peter
Bent Brigham front porch. His biography of his mentor, Sir
William Osler, won a Pulitzer Prize in 1926. His extensive
rare book collection forms a nucleus for the Cushing/Whitney
historical book collection at the Yale Medical School. His
personality and demeanor have even influenced our popular
culture. The persona of a neurosurgeon as seen through
the eyes of Hollywood in movies, books and plays is Harvey
Cushing: abrupt, intelligent, intense, the neurosurgeon ...
a true American hero.
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