WILLIAM BLAIR BELL, F.R.C.S. 1871-1936 Professor William Blair Bell died suddenly of a heart attack, on Saturday, January 25, 1936. He was the son of a surgeon, Mr. William Bell, M.R.C.S., studied medicine at King’s College Hospital, London, where he showed great promise, gaining a number of prizes and scholarships. He was graduated B.S. and M.D. of London University and shortly afterward was elected a fellow of the Royal College of Surgeons, England, and a fellow of King’s College. I n 1905 he received an appointment to the staff of the Royal Infirmary, Liverpool, to which institution he ultimately became consulting gynecological and obstetrical surgeon. From 1921 to 1931 he was Professor of Gynaecology and Obstetrics at Liverpool University. Professor Blair Bell’s services to his special fields were numerous and varied, and he was an active worker in many professional societies and institutions. In 1911 he founded the Gynaecological Visiting Society of Great Britain. He was president of the British College of Obstetricians and Gynaecologists; at one time president of the Section of Obstetrics and Gynaecology of the Royal Society of Medicine, and of the North of England Obstetrical and Gynaecological Society. He was chairman of the executive committee of the British Congress of Obstetrics and Gynaecology and a member of the board of directors of the Journal of Obstetrics and Gynaecology of the British Empire. He also was an honorary fellow or member of various medical societies both British and foreign. He was an honorary LL.D. of Glasgow and Liverpool, an honorary fellow of the American College of Surgeons, and a Commander of the Order of the Star of Rumania. Blair Bell’s excellent text-book, The Principles of Gynaecology, reached a fourth edition in 1934, and he contributed chapters to several systems of surgery as well as many papers to professional journals. He was a member of the editorial board of the AMERICAN JOURNAL OF CANCER, took a lively interest in the growth of that journal, and made many valuable suggestions for its improvement. Early in life Blair Bell showed an intense interest in various phases of investigation connected with his specialty. He was awarded the John Hunter medal and triennial prize by the Council of the Royal College of Surgeons, and the Astley Cooper prize for original work on the pituitary body. He was one of the first to study the functions of that gland by modern experimental methods and he made important clinical observations in addition. He was best known in America, however, for his work with lead, first for his investigations on its toxic effects on the placenta in cases of industrial poisoning; then as the inspirer of a long series of studies on the pharmacology and toxicology of the substance, and finally for his efforts to develop a cancer therapy 787 788 WILLIAM BLAIR BELL by the intravenous injection of colloidal lead and other lead compounds, many of which were prepared by Professor Heilbron of the University of Liverpool. I n connection with this work he developed a research group known as the Liverpool Medical Research Organization, whose extensive experinien tal work on the toxicology and pharmacology of lead compounds was summarized in a volume entitled Some Aspects of the Cancer Problem, published under his editorship in 1930. For a number of years Professor Blair Bell worked indefatigably in cancer therapy, treating over 1000 patients, almost all advanced and hopeless cases. The records of his clinical studies were admirably kept and two sets of microscopic slides were available to prove the diagnoses. While many interesting palliations were observed, the number of patients actually cured for a fiveyear period did not exceed 50. The treatment was so dangerous and so difficult, requiring hospitalization and the most careful study of clinical symptoms to avoid untoward results, that he finally arrived at the conclusion that the method could not be generally employed. Professor Blair Bell’s own work was so thoroughly done that he was resentful of slipshod work reported by others, and his delightful capacity for rendering his enemies uncomfortable and occasionally ridiculous, by his spirited retorts in controversy, would indicate that some Irish blood must have flowed in his veins. The columns of the British Medical Journal furnish a number of exceedingly telling letters of rebuttal and sharp thrusts at those who failed to acknowledge the work of others. As a result not a little criticism was exerted against Blair Bell’s fundamental ideas and his practical work with lead as well. Only those who knew him can appreciate the hours and days of arduous labor which went into his studies, He was never too busy to see a sick patient, day or night, and his inspiration carried his colleagues on through many disappointments. Eventually he had the satisfaction of knowing that some of his theories which had been ridiculed proved to contain more than a grain of truth, and that he would leave behind him the only group of hopeless and advanced cancer cases which had been cured by medication. Up to the last Professor Blair Bell was interested in the various synthetic lead compounds, some of which were effective on animals but proved ineffective in human beings, and he never gave up hope that some way might be developed, through patient chemical investigation, by which the toxic properties of lead could be masked, much as Ehrlich masked the toxic properties of arsenic, by suitable organic combinations, and an effective therapy of cancer developed. His many friends in Great Britain and America regret the passing of a brilliant and charming personality, a good fighter, and a most loyal friend.
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