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Harvey Cushing was 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 and 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. There 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, hemostasis
and meticulous pre and post operative care of patients.
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 the apparatus to measure blood pressure during
operations; recommended keeping a record of the patient's vital signs during operation,
and was the first to use electrocoagulation. Metal clips for blood vessels,
re-transfusion
of blood, cotton patties...you name it, he probably first described it.
Cushing achieved world wide 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 Havey
Cushing Society (now the American Association of Neurological Surgeons).
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 ... a
true American hero.