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•
 
•Samuel D. Gross, M.D.
&#= 8226;and the American Surgical Association
•Courtney M. Townsend, Jr., M.D.= 3;
•John Wo= ods Harris Distinguished Chairman of Surgery
•The University of Texas Medical Branch
•Grand Rounds – February 4, 2009
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•
•Scott Memorial Library – Tho= mas Jefferson
•Moody Medical Library Blocker History of Medicine Collection = 211; UTMB
•National Library of Medicine <= /b>
•Filson Historical Society, Louisvi= lle, KY
•Neal Garrison, M.D.
•A Century of Surgery, 2 vol, M.M. Ravitch
•Min= utes of American Surgical Association,
3 vol, R.S. Sparkman and G.T. Shires
•Autobiography, 2 vol, S.D. Gross
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W. T. Briggs (Nashville, Tennessee)<= span style=3D'font-size:50%;mso-special-format:lastCR;display:none'> =
Wm. W. Dawson (Cincinnati, Ohio) =
Moses Gunn (Chicago, Illinois) =
Louis A. Dugas (Augusta, Georgia) =
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= •“= ;The undersigned respectfully solicit your co-operation in foundin= g a National Surgical Society, to consist exclusively of= distinguished surgical practitioners, writers, and teachers.” = ;
• <= /b>
= • L.A. Dugas, M.D.
 W.W. Dawson, M.D.
 Moses= Gunn, M.D.
 W.T. Briggs, M.D.
 S.D. Gross, M.D.
• =
•Transactions of the ASA, 1884.
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• =
•
“Although this paper= is designed to record the achievements of American surgeons, there are, strange to say, as a separate and <= /b>distinct class, no such persons among us. It <= /b>is safe to affirm that there is not a medical = man on this continent who devotes himself = exclusively to the practice of surgery…T= he soundest, and therefore, the safest, practitioner is, by all odds, the general = practitioner, provided he is thoroughly educated, and fully up to his work.”=
= 226;S.D. Gross. A Century of American Medicine–1776-1876, The Americ= an Journal of the Medical Sciences. 1876;71:432.
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• =
•
•
•Broad education and experience
•Comprehensive view of disease
•With experience – skill and <= /span>fame
<= span style=3D'font-size:147%'>•Specia= lty not specialist
 
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•“I am = sure it requires only the smallest amount of brains to make a specialist.”
 
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= •May-June, 1882, Philadelphia, Pennsylvania
= •25 Fellows present; 9 papers were presented; constitution and bylaws adopted
• =
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CONSTITUTION
ADOPTED MAY 31, 1882.
3D"Text 
I.
The society shall be known as the American Surgical Association.
II.
The objects of the Association shall be the cultivation and improvement of the art and science of surgery, and the promotion of the interests not only of its Fellows, but of the medical profession at large.
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= = •“We can hurt no society now in existence, or likely to come into <= /span>existence. We can hurt only = ourselves if we fail to do our = duty.”
• =
•Transactions of the ASA, 1884.
•Address of Welcome
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•“We hope to ma= ke the American Sur= gical Association an altar upon which we may annually lay our contributions to Surgical Science, and so show the world that we are earnest and zealous laborers in the interest of human progress and human suffering.”
R= 26;Address of Welcome, Philadelphia, May 31, 1882<= /b> S.D. Gross, Transactions ASA, 1883;1:xxi.
•
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•1881 Association to publish Transactions for papers presented…furnished medical journals for publication…in advance of their appearance in the Transactions of the Association…under the capti= on, ‘Read before the American Surgical Association.’”
•Senn N= . An Experimental and Clinical Study of Air Embolism. Ann Surg, 1885;1:517.
•1928 <= /b>Annals of Surgery became official journal of the Associa= tion
•Publication = and Annals of Surgery
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•“I believe tha= t we have here an ass= ociation which is destined to become a power for good in the land; and when I am dead and gone you will not, I am sure, relax in your efforts to make it, what its founders intended to make it, a great and = lasting institution.”<= /div>
•Vale= dictory Address, Cincinnati, May 31, 1883
•S.D. Gross, Transactions ASA, 1883;1:xxxi.
•
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•Anatomist
•Pathologist
•Surgeon
•Scientific investigator
•Author
•Teacher
•Organizer
• =
•Samuel D. Gross – 1805-1884
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= •Kentucky State Medical Society
 Founder and President <= /b>
= •Philadelphia Pathological Society
 Founder and First President, 1857
= •Medical Jurisprudence Society of Philadelphia Founder
= •Philadelphia Academy of Surgery
 Founder and First President, 1879
= •American Surgical Association
 Founder and President, 1880= -1883
• =
•Samuel D. Gross – Medical Societies<= /span>
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• =
•Original Textbooks
•
1.<= span style=3D'mso-tab-count:1;width:.17%'> The Anatomy, Physiology, and Diseases of the Bones and Joints.<= /i> Philadelphia: J. Grigg; 1830.
2. Elements of Pathological Anatomy. Boston: Marsh; 1839, 2 v.
3. = An Experimental and Critical Inquiry into the Nature and Treatment of Wounds of the Intestines. Louisville: Prentice & Weissinger; 1843.
4. = A Practical Treatise on the Diseases and Inj= uries of the Urinary Bladder, the Prostate Gland and the Urethra. Philadelphia: Blanchard and Lea; 1851.
5. = A Short Account of the Use of Adhesive Plast= er in the Treatment of Fracture. 1852.
6. <= /b>A Practical Treatise on Foreign Bodies in the Air-Passages. <= /span>= Philadelphia: Blanchard and Lea; 1854. =
7. <= /b>A System of Surgery; Pathological, Diagnosti= c, Therapeutic, and Operative. Philadelphia: <= span style=3D'font-size:71%'>Blanchard and Lea; 1859.
8.<= span style=3D'mso-tab-count:1;width:.17%'> A Manual of Military Surgery, or, Hints on the Emergencies of Field, = Camp and Hospital Practice. Philadelphia: J.B. Lippincott; 1861.
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In 1835, David Otley wro= te of John Hunter: = 220;There is perhaps not= hing that more dis= tinguishes the man of genius = than <= span style=3D'font-size:167%'>the manner in which = he turns to account the advantages which = common minds = would let slip without profit.”
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•1805 Born on 200-acre farm
•age 8 Father died
•age 12 Learned English
•age 17 Decided to read medicine
 not satisfactory – education inadequate
•“This was the turning point in my life= 230;I had made a great discovery – a knowledge of my ignorance; and with it came a solemn = determination to remedy it.”
•Academy; High School
•age 19 apprentice to Dr. Joseph K. Swift
• =
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= = •October 1826 – age 21 – Jefferson = Medical College, Dr. George McClellan, <= /span> Founder and Professor of Surgery&#= 13;
•2 years of lectures
= •“as an operator, he was showy, and at times brilliant, yet he lacked the = important requisites of a great surgeon – judgement and patience.”
•1828 in 3rd graduating class
• =
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• =
•1828 Philadelphia – began practice <= /b>
•Married Louisa Weissel
•Translated from French and German <= /span>= 4 books: Anatomy, Obstetrics, = Typhus, Operative Surgery within = 18 mos.
•1830 – The Anatomy, Physiology, and Diseases of the Bones and Joints
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• =
•Dr. Dewees, Professor of OB, Penn
“…= ;he may be a clever young man, but the faculty of the University could take no notice of anything that emanated from the Jefferson School.”
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• =
<= span style=3D'mso-special-format:nobullet;display:none'>•1830 Easton, Pennsylvania –
private practice
•Built dissecting room in garden
<= span style=3D'mso-special-format:nobullet;display:none'>•Experiments on temperature of blood; small pox from man to cat; <= /span>strangulation
•1832 Cholera in New York City <= /div>
= •Asked Dr. Eberle for an academic job in Cincinnati
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R= 26;Demonstrator of Anatomy
R= 26;Amphitheater denied by Professor
R= 26;Lecture room was attic
•Western Medical G= azette – editorial board
• =
•1833-1835 Medical College of Ohio
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183= 5-1839 Cincinnati College
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