W EI R M I T C H ELL A b ri ef sketc h o f h is life w ith p erso nal rec o l l ec tio ns BEV E R LE Y R . TUC ! ER BOST ON ! RI CHAR D G BADGE R . TH E C OP P C LA R ! CC ., L I MI TE D, T OR ONTO i C o p y r g h t, x9“ , by R i c h ar d G . Ba d g er i A l l R gh t s R e s e r v ed TH E G ORH A M P anes , B OS TON , U . S . A , C ONTENTS S . Wi e r Th e M itc h ell Physician As a Sc ientist As a N o vel ist As a Poet Pe rsonal Recoll e ctions s . WE I R M I T CH ELL S . W EI R M I T C H E L L one were required to write a description o f the wonderful rose window of N o tre Dame many di ffi culties would beset h is e ffort Every change in the light of the day would bring o ut n ew c o lors a nd shadows every inspecti o n w o uld reveal new w o nders o f technique e very attempt ed descri p ti o n whil e possibly adequa te in one particular would fall short in o thers o f this many c o l o red m a rvel All who V iew it critic or c a sual o bserver a r e h ow ever brought to the o n e gen e ral conclusi o n th a t it is a m a j estic work of art and all l ea v e with a sense o f int en se and p e rs o nal admiration How much hard e r is it t o depict this m a ny gifted man ; this physici a n this scie n tist this novelist this poet this hum a nitari an this fri e nd ! Still I am tempted to lay be fo r e y o u an imp e rfe c t sketch o f Dr Mitchell believing that as you learn more and m o re o f him yo u will n o t b e s o F , . , , , , . , , , , , . - , , , , . , 7 , , S W EI R M IT C H ELL 8m . much app a ll e d by his genius a s dr a w n an d e l e v ated by a fe e ling o f p e rs o n a l a dmir a ti o n f o r this truly grea t and l e arned man Silas We ir Mitch e ll w a s b o rn i n Ph il adel phi a Feb ru a ry l gth 1 8 2 9 an d di e d i n th e s ame ci ty at his h o me I 5 2 4 W alnut Str ee t J a n u a ry 4 th 1 9 1 4 H e w as the son o f Joh n K ea rs ley Mitch e ll a nd S a r a h M a tild a n ee H en ry d a ughter o f Al ex a n d e r He n ry His gr an d f a ther Al exa nde r Mitch e ll e migr a t e d fr o m Scotl a nd an d s ettl e d n ea r Al exa ndri a V a a nd l a t e r moved t o ne a r Ch a rl e s T o w n th e n Vir gi n i a n o w in J e ff e rs o n C o unty Wes t Virgi n i a Wh e re his fath e r w a s b o rn H is f a th e r m o v e d t o Phil a delphi a a nd w a s a n e mi ne nt phys ici a n Wh o for ye a rs u n til hi s de a th in 1 8 5 8 w as pr o f esso r o f pr a ctic e o f m e dici ne in J e ff e r son M e d ical C o ll e g e P hilad e lphi a Hi s f a th e r als o had decid e d lit e r a ry t a st e a n d publ i sh e d s e v e r a l vo l um e s o f ta l e s a nd p oe m s Dr Mitch e ll w as twic e m a rri e d H is fir s t Wi f e w as Ma ry Middl e t on a d a ughte r o f Al . , , , , , . , , , . , , , . , , , , , . , , , . . . . , WE I R MIT CH E LL s . 9 fred Langdon Elwyn and his s e co nd w a s M a ry daughter o f Dr Th o mas Cadwallade r A so n Langdon Elwyn Mitchell by the first marri a g e ’ inherits his father s lite rary tast e and is we ll known as a playwright a n d his other so n by this marriage D r John K Mitchell has foll o wed ’ his f ather s pro f essi on and became a noted n eu ro l o gist A daughter by the seco nd ma rri a ge died som e years ago I understand o f diphtheria con tracted whil e V isiting the p o o r I n his youth Dr Mitchell was educated in the grammar sch oo ls o f Philadelphi a an d a lso in th e John F Fe rris Acad e my one of th e old prepar a tory sch o ols o f Phil a d e lphia H e th e n to ok a c a demic a nd medical class e s a t the Uni versity o f P e nnsylvania but was prev en t e d fr o m graduating by reason o f ill health in his senior year Later when his h e alth impr o v e d h e en t ered the J e fferson Medic a l C o llege fr om which h e was graduated i n 1 8 5 0 3 H e r e the writer thi nk s it is wis e t o get a cle a rer view o f hi s car ee r to divid e this p a p e r , , , . . , , , , . , . , . , , . . , . . , - . , , , . , S WE I R MITCHELL 10 . int o remarks on his life as a physici a n as a scientist as a literary m an and p o et as a pub lic citizen and th e n t o give s o me pers o n a l rec o l lections , , , , . THE PHYSI C I AN RA DUA T I N G in 1 8 5 0 Dr Mitch e ll entered the practice o f m e dicine as a general practiti o ner and by the time o f the war was well kn o w n a nd h a d built up an extensive pr a ctic e I n 1 8 6 2 he w a s appointed army surgeon in the United St ates a rmy and served until 1 8 6 5 During this time he was active i n the organi z atio n o f the Chris ti an S treet Hospital f o r N e rvo us Diseases and was later the Acting Assist a nt Surgeon of Tur ’ ner s Lane H o spital with Dr G eo rge M o ore house and Dr W W K ee n S ome years a ft e r th e w a r in sp e a k ing o f his connection with Dr M oo r e h ouse and Dr Keen “ Dr Mitchell said ! It was agreed th a t e ach o f us should pr o fit by the notes o f a ll o f us a nd that the nam e o f the writ e r o f ea ch es sa y sh o uld ” stand first o n th e titl e p age ’ Dr Mitc he ll s first p a per fro m th e vo lu m in , . , . . , . . . . . , . . . . . 1 1 , S WEI R MITCH E LL 12 . n o tes of this h o spital was o n the subj ect o f sudd e n pals y the result o f gunsh o t w o unds i n remote r e gi o ns o f th e b o dy Th en c a me a p a r o n m aling e ring a nd the stimulati on o f a e p p r aly s es a nd e pilepsi e s Th e s e s tudi es w e r e especi ally int e resting becaus e o f th e ob se rv a ti ons o f the s ta ff up o n their o wn e ffo rts to stim u l ate dis e ase s In 1 8 6 6 he p ublish e d a n im p o rtant p ap e r o n paralysis fro m periph e r a l irri t atio n With thes e papers b e ga n hi s w on d e rful care er as a sp e ci ali s t in nervo us di se a ses With Drs M oo r e h o us e a nd K een h e wr o t e o n r e fl ex p aralysis gunsh o t w o und s a nd o th e r in juri es o f n e rves Th e public a ti on o f these p a pers made him th e gr ea te s t auth o ri ty o n gu n sh o t wounds in th e w o rld a t th at ti me ’ Dr Guy Hinsdal e s a ys o f Dr Mitch e ll s Tur ’ n er s Lane H os pit a l ex p e ri en c e “ ’ Th e Tur ne r s L a n e H o spit a l r e c e i v e d a multi tu d e o f c a s es r e pr e s e nting alm os t e v e ry c o nc e ivabl e typ e o f o b s cure n e rv o us dis e a s e Th e M e dic a l i ns p e cto r s f o rw a rd e d fr om v a ri ou s , . . . . . . , . . . . “ . THE P H YSI CIAN 13 ous fi e lds and hospitals a v a st numb e r o f cases o f wounds an d con tusions including rare forms o f nerve l e si o n of almo s t eve ry gr ea t ne rv e i n the b o dy “ F e w p e rs o ns have ev e r a t a ny tim e had such an o pportunity for study and th e m a ss of ma t erial pr e s e nt e d was no t n e gl e cted fr o m a ny st a ndp o i nt “ At th a t t i me ( 1 8 6 4 6 5 ) hyp o d ermic m e dic a tion was s omewh a t n o v e l and i n th e t e rribl e burn ing pain f oll owi n g i njuri e s to ne rv e s which Dr Mitchell describ e d und e r th e nam e o f ’ ‘ caus a lgi a ample us e w a s m a d e o f hyp o d e rmic inj ectio n s It was f ou n d that th e sub cu tane o us admi n is trati o n o f m o rphin e in that a ff e cti on was more rapid a nd us e ful if made near th e site o f th e pai n Th e combi ne d us e o f atropi ne and m o rphine was h e re first sugg e st e d and h as s i n ce b e e n u nan im o u s ly a d o pted in daily pra e tic e The e ffects o f each drug us e d a lone w e re studi e d then o f th e two to egth er their a ntag o nism s m a d e cl ea r a nd a l so th e ir a gr e em en t s , . , . - , , . , - . . , . , , , S WEI R MITCH E LL 14 . in acti o n and in a c o mm o n tend en cy t o enf eebl e the bl adder The narc o sis o f m o rphin e is le s sened by th e presence o f a tropine but its anal e power is unaltered s i c g “ Th e r e mote a fter hist o ry o f the s o ldi e r p a ti ents su ffering from nerve wounds h a s bee n an interesting and unt o uched study attended by all sorts o f di ffi culties Dr John K Mitch e ll his son has succeede d in securing the histo ry o f ma n y o f these Civil War cas e s a nd r e c o rded them i n a volume published in 1 8 9 5 e n titled “ Remote C onsequ e nces o f Injuries of Nerves ” and Their Tre atment This r e cord is o f sin gular value and is not c o nfin e d t o a s tudy o f th e ’ ” Turner s Lane H o spital pati e nts I n 1 8 7 2 Dr Mitchell was app o inted physician to the Presbyterian Hospital o f Philade l phia and in the s ame ye ar he was app o int e d physici a n t o th e Orthop aedic Hospital Seventeenth an d S ummer Streets Th e name was a fterward changed to The Orth o paedic H o spital and In firm ary f o r Nerv o us Dis ea s e s At thi s h os pit a l . , . , . . , . , , , . . . , , . . , TH E P HYSI CIAN I 5 which at the time w a s small he c o nfined his practice to nervo us diseases and it was n o t l o ng ” “ be fore the tail wagg e d the dog and at his death this h o spital had grown to b e o ne o f the largest special hospitals in the country It w a s here that Dr Mitchell tre a t ed many o f hi s rest cases and performed with this tre atm e nt and other measures many o f the miraculous cur e s for which he was famed In 1 8 8 4 he w a s made V isiting physici an t o the Insane Dep a rtment of the Philadelphi a Hospita l B eside th e se h os pital appointmen ts he was connected with m a ny r est h o uses M o st o f these h o uses w e re m a n aged by ladies who had been tr a in e d un d e r him in nervous work even b e f o r e th e day s o f th e regular tra i ned nurse Dr Mitchell had o n e o f the m o st e no rm o u s consulting practices in th e United St a t es an d it has been s aid that his inc om e from pr a ctice has at times reached a ye ar B ased on thes e hosp i t a l experiences and his enormous private pr a ctice Dr Mitch e ll wr o te , . . . . , . , . . ’ , . , . 1 S WEI R MITC H ELL 6 . a s ma ny a s I 5 0 imp o rt an t p a p e rs and m a d e m a ny medi c al an d sci entific disc o veries H e “ We a r an d al so wr o t e short bo o ks am on g th em ” “ ” “ T ear Hin ts for the Overworke d D o ct o r ” “ Clinic a l L ectur e s o n N e rv o us and P ati ent ” “ ” The latt er Dise ase s and F a t and Blood h as b een t ran sl ated int o the Fr e nch G e rma n Sp an ish Itali an and Rus s ia n lan guag es Dr Mitch ell never wr o t e a t ext b o ok o n n e rvous di s e as e s I ask e d him on ce i f he h a d e v e r be en a p ro “ f esso r an d h e said Yes f o r fiv e minut es At a b o ard me e ti n g o f th e Univer s ity o f P ennsyl va nia I was a sked to retire a nd whil e o ut I was elected pro fes s or of physiolo gy Wh en I r e turned in a few minutes I r esigne d Dr Mitch ell w as o n e o f the gr e ate s t teach ers of m e dicin e thi s country ha s ev e n seen but h e c o n re fused t o accept a pr o fess o r s hip sist ently M a ny o f the most prominent neur o logi s ts in this c ou n try and s o me who died be fore himself w e re hi s dis c ipl es and r eceiv e d their traini ng while . , , , , . , , . , . . , , . . . . , . 1 S WE I R M I T C HE LL 8 . t e st o f fi fty years and has been far more bene fic i al than all the other treatments yet intro I t must be remembered that th e meas du c ed ures mentioned do not constitute the w hole of the rest treatment that the tre a tment is varied to suit individual cases that the personality of the physici an and his comprehension o f the re a sons for the treatment add b o th psychotherapy and common sense to it The sto ry is told of a Philadelphi a gentle man consulting a famous I talian physician The “ I talian speci alist asked ! But y ou are from ” ” “ “ America ! Y es Why then no t take th e ” “ ’ ” ! What s that ! asked V erm ic h el l i t r e atment ’ the c urious American What you don t know the tre atment o f th e famous Dr Vier Mitchell ” o f Philadelphi a ! And the America n came home to b e cured ’ Dr Mitchell s achievements in medicine would be hard to e numerate Am o ng them b e ” “ side the introduction o f the Rest tre atment might b e menti one d th a t h e w a s th e fir s t t o . , , . . , . , , . , . . . . , TH E PH YSI CIAN 1 9 point o ut that ankle col o nus was due t o myo t on ic contraction o f the s o leus muscl e H e first p o int ed out that nerve inj uries gave remot e sym p t oms and made o th e r v a luable observations upon these injuries He disc o vered the rela tion o f eye strain to nervous disorders He in tro du c ed the physiological rest treatm e nt f o r the cure o f sci a tica He suggested l ab oratory re se arch in ins ane insti tu tions He introduced the Weir Mitchell system o f ma s s age H e add e d much to the knowledge o f tremors and refl ex es and made or i gi nal observati o ns up o n the toxi c o l o gy o f morphin e and sn a k e poisons He did valuable original work upon the physi o l o gy o f the cerebellum He has been called the fath e r o f neurology as a s p eci alty in Am e ric a He w a s one of th e first t o introduce the c a rd index for case records He drew atte n ti o n t o the v a lue o f g o od nutriti o n for nerv o us c ases and did much t o advance physiology not o nly o f th e n e r vo us system but als o o f dig e sti on He first des crib e d th e dis e as e e rythro m el a lgi a which i s . . . . . . . . . . , . S WE I R MITC H ELL 20 . ’ kno wn a s We ir Mitch e ll s D i s ea se H e d r e w a tt e nti on t o th e f a ct tha t m a ny o r a n i c nervous co n ditions well kno wn a mong the g white rac es ar e almost unkn own in th e ne gr o . race . long as the hist o ry o f m e dici n e l a sts S ’ Weir Mitch e ll s nam e will be kno wn through ’ the centuries as o ne o f th e world s gre a t es t physici a n s His won d e rful v e rs a tility his sane m e n tal grasp a n d his inv estigativ e an d t h e r a peuti e i n genui ty an d res o urc e fulnes s w e r e such as to stamp up o n the rec o rds of me d ic a l h is tory an indelible p a ge AS , . , . . AS A SCIENTIST OSSI BLY l eas t wid e ly known o f the a ccomplishm en ts o f thi s m a ny s id e d man are his a chi e v e m e nts in scie n c e Dr Mitch e ll was a b o rn physiolo gist a nd psych o l o gist and an o rigi na l investigato r He e l a bor a t e d a system o f m assa g e which i s u n surpassed a fter having s tu di e d th e m e th o ds o f m a ssag e a nd r e m e di a l m ov e m ent s in m any f o r eign countri e s Much o f his w o rk i n t ox ic ol o gy is a s t a nd a rd to d a y H e w as a n a uth o ri ty on p o is ons es peci a lly s n ak e p o i so n s Am on g hi s “ papers a re Exp e ri m ent a l R esea rch es Re l a tiv e to C o rro y al an d Va o the S o uth A rneric an Ar ” r o w P ois on publi s he d in 1 8 5 9 I n thi s se ri e s o f experim e nts Dr Mitch e ll w a s assited b y Dr Willi a m A H a mm on d T o th e Smi th son i a n c o ntributi o n s t o kn owl e dg e Dr Mitch e ll g a v e “ in 1 8 60 a p a p e r o n R e s ea rch es Up on th e V en ” om o f th e R a ttl esnake I n 1 8 6 9 h e p ub li s h e d - . . . , . - . . , , . , . . . . . , . , S WE I R MITC H E LL 22 . a noth e r w o rk o n to x io c o l gy This w as O n the Insu s c e ptibility o f P ig eon s t o the To xi c Acti on o f Opium T e n y e ars lat e r h e wro t e a no ther a per along the s ame lines This was e ntitl e d p On the E ffect o f Opium and Its Deriv a tiv e Alka l o ids In the field o f t oxic o l o gy h e m a d e s tudi es a ls o on the e ffect o f chl o r a l chlor o form a nd ether h yp o dermically and otherwise a dminister e d and as m a ny as e ight tim e s h a d him s elf an e sthetized to n o t e th e e ffect He investigated th e e ffe ct o f a tm o spheric pr e s sur e o n n erves H e i nv e nted a ppar a tus f o r t e sti n g refl exe s m ea suring the tim e o f tr e m o rs and m a k ing o th e r o bs e rv a ti o ns which w e r e orig i n al and unique Th e r e is a r oo m i n the Orth o e H o spital which is n e arly full o f this a a i c d p p p a ratu s n o w o ut o f dat e but which has s e rv e d its purp os e well They w e r e priv a t e instru m en ts o f precisi o n us e d f o r r e se a rch l on g b e f o r e the comm e rci al i ns trum e nts o f pr e ci s i on w e r e put up on th e m a rket o r p oss ibly ev e n . . , . . , , . . , . , , . A S A SCIENTIST 23 dre a med o f A s a result o f all o f this w o rk many h o nors were heaped upon the physician and scientist He was trustee o f the Universi ty o f P ennsy l vani a and o f the Carnegie Institute The de gree o f law w as bestow e d upon him by Harv ard Universi ty in 1 8 8 6 Tw o years later the Uni versity of B o logna Fr a nce gave him an hon orary degree in medicine I n 1 8 9 6 Princeton a d ded the degree of law and the University of E d inburgh b e stowed up o n him the same h o nor I n 1 9 0 6 the Univ e rsity o f T o ronto besto wed an h o norary degr e e in medicin e and in 1 9 1 0 the Je fferson Co llege presented him with a like de gre e He w as als o an hon o rary member o f the Fr en ch Academy o f M e dicine o f the British Medical Society and a fellow in the R o y a l M ed ical Chirurgical S o ciety He w a s an active mem b e r o f the N atio n al Acad e my of the Unit e d S tates He w as twice pr e sident o f the Coll e g e o f Physicians The S Weir Mitchell Hall o f the n ew C o ll e g e o f P hysici ans in Philad e lphi a . . . . , , . . , . , - . . . . , , S WE I R M ITC H E LL 24 . which he was instrum e ntal in h a ving built w as n a m ed i n his h o n o r B esid es th es e Dr Mitch e ll h e ld memb e rsh i p in s o ci e ti es al l over the w o rld The se included a m o ng oth e r s th e N a tio nal Ac a d e my o f Sc i ence B ritish Medic a l A s so ci a t i o n Am e ri c an N eu rologic a l Ass o ci a ti on o P re s Am e ric an P hil o s o phic a l 1 S 8 0 ( 9 c iety Lon d o n M e dical Soci ety Ac a d e my o f Sci enc e Swed en Am e ric a n Ac a demy o f Art s an d Sci e nc e s R o y a l S o ci e ty of Gr ea t B rit a in R o y a l M e dic a l S o ci e ty Roy a l S o ci ety of Liter a tur e fo r e ign corr e s p o nde n t o f Ass o ciati o n o f the Frenc h A c a d e my o f M e dicin e c o rr es p on d en t m e mb e r o f the Acad e my o f Sci en c e o f B o l o gna Gess el sc h a f t D e utsch e r N ervena rz te a nd th e Ro ayl M e d i c a l S o ci e ty N o rw a y , . . , , . , , . , , , , , , , , , , , , . S WE I R M ITC H E LL 26 . sisting o f three stories H e pzib a h G uin ne ss “ ” “ Th e e and You and A Dra ft o n the B a nk o f ” S p a in From now on a lmost every y e ar br o ught forth one or mor e volumes o f n o vels or po e ms A list of his principal writing is appended I t is n o t my p urpo s e t o revi e w these works in detail or to put up o n them their proper liter ary value That Weir Mitchell w as a great novelist cannot be successfully disputed His greatn ess as a n o v e list would b e a fact e v e n if h is high correct lit e rary style was n o t b ack e d by his deep c o mprehension o f human nature and human thought The p o w e rs o f the gr e at phy si c i a n and great psych o l o gist are fully drawn up o n in depicting and o ri e nting hi s charact e rs H is v e r sa tility is astounding Think o f the s ame ’ ” man writi n g Fuz Bu z the child s story and “ ” ’ Hugh Wynne Americ a s gr e at e st historical “ ” n o vel o r Constance Trescott th e p sy c h o lo g “ ical tragedy and The Adventur e s o f Fr a n ” c o is the c o mic o real istic al t a l e o f th e Fr e nch “ r e vo luti on o r Wh en All th e Woo d s Ar e ! , , , . . . . . , . . . - , , , , , , - , , A S A NO VE LI ST - ” Green and the A u tibio gr ap h y o f a ! u a ck ! Further he indirectly invaded the field o f “ ” drama and The Masque was dr amatized by Wilson B arrett the gre at English actor while “ ” The Adventures of Francois was dramatized by h is so n Langdon Mitchell I n speaking of h is medical kno w ledge as a basis for h is fiction Dr Mitchell once sai d Y es in nearly everything I have written there has been som e case traced out excepting in my ‘ ’ book called Circu m st a nce Th e author ph y s ic i an once said at the University Club o f Phila delphia where a reception w as held in h is hon or tha t if he were to choose between abandon ment of literary work or the practice o f medi “ cine he would quit the former I f I could be remembered by but one thing he said I w ould rather I t would be for the work I have been able to do for my fellow men in the pro ” f es sio n o f medicine To a physician his books pre sent a peculiar charm and the hysterical illness o f An ne Pen , , , , . , , . , , - . , , ! . , , - . , 28 S WE I R MITCH E LL I . h all b w and the gunsh o t injury o f the he a d in “ ” her husband in Westw ay s are certainly two of the b e st descriptions o f illnesses to be f ound in novels When o ne think s that this bo o k was w ritten when D rf M itc h el l w a s eighty four years old one can but m arvel at the brain untouched by the ravages o f age w hich produced it I do not believe there is in all literatu re another pro duction by a m an o f this age which can even “ remotely c o mp are with Westw ay s ’ I t h as been s aid ! Dr Mitchell s style o f w riting h a d a peculi ar charm which endeared him to h is r e aders H is characte r s seemed to be living breathing beings human in every aspect and h is hist orical r omances teemed w ith re freshing V igor and realism This w a s all the more remarkable coming from the pen o f a man whos e life had V irtually been sp ent in the clinic rooms of hospitals and in the sober atmosphere ” o f the medical w orld “ Dr Mitchell used alm ost every known form o f literary ex p ressi o n Th e n ov e l th e short ‘ , , . - , , . , . . . , , , . . . . , AS A NOVELI ST 29 sto ry th e e s s ay the drama v e rs e all w e re at the c o m mand o f hi s masterly intell e ct He al tern ated hum o r o u s sh o rt stories with those of the tragic type Lyric r omantic and dramatic p oe try are als o e qu a lly represented in hi s writ ” ing s Anyon e wh o h as n o t read the Y o uth of ” Washingt on h as missed a gr ea t de a l I n this delightful b o ok yo u s e e the foundation up o n which was built that gre at human s tructure Ge o rg e Wa s hington and l e arn much o f the events le a d ing up to th e revo lutio n A charm ingly drawn picture is the char act er o f the moth er o f Washingt o n I n sp ea king of o ne o f his firs t short stories the fo llowing is an interesting a n ecdo te The first contribution o f the auth o r physici a n t o a p e ri o di c a l was bas e d up o n a hum o rous dis c u ssio n with friends wh e ther or not the l o ss o f any memb e r of the b o dy i nv o lved a parti al loss of individuality I n ex plaining the circum sta n c es D r Mitch e ll s aid to an inte rvi e w e r , , , , . . , . . , , . . , - . , . S WE I R MITCHELL . I simply wr o te out the story of a man whos e arms and legs had been amputated and the h is tory of his case I lent the manuscript which I did not intend for p u b lication t o the Rev Dr Fu r ness and he in turn gave it to E dward Everett H ale to read Dr Ha le was at that ti m e connected w ith the Atlanti c Monthly To my surprise I received a substantial check and ‘ ’ The Case of George D edl aw s aw my p aper printed a s the leading article We l l my poor man w a s supposed to b e at the S tum p Hospital a place exclusively for dismemb ered hu an m ( ity ) and subsc riptions began to pour in for th e fictitious George D edl aw while the newspapers ‘ ’ took up the re m arkable case I t was s o me t i me be f o r e it w as understood that no such arm ” less and legless man existed I t h a s been a matter o f considerable w onder ho w Dr Mitchell had the time to write his books and at the s ame time keep up h is pra e tice and maintain h is i n te r est in so many other thi ngs This will always remain a marvel es p e , . , . . , . . . , , . , . , , . . “ . . , 3 S WE I R MITCHELL 2 . actually came under my obs e rv a ti on It w a s writt e n first as a comp a ratively sh o rt s t o ry about a hundred p ages and wh e n that w a s fin i sh ed the larg e r p o ssibiliti e s w e re seen in it Th e book has been almost c o mpl e tely r e writt e n thr e e t i mes in thr ee successive ye ars “ I have everything set in typ e a n d study ef feets fr o m gall ey proo fs Th e n I insi s t up o n a complete printed c o py p a ge f o r p age o f the entire w o rk and when I get th a t in hand I b e gin t o see my mistakes a n d g e t a g ene r a l efi ec t o f th e w o rk I t is u n n e c e ss a ry to g o f a rther i n t o a di s cu s si on o f h is familiar writings Th e foll o wi n g list embrac e s his main liter a ry ou tput sinc e 1 8 8 0 Th e re hav e appe a red a c o llectio n o f short “ ” sto ries e ntitled Hepzibah Guinne s s which showed that a n ew fi gur e had e nt e r e d Am e ri ca n lit e ratur e This vo lume w a s f o ll o w e d by “ th e first bo ok o f v e rs e The Hill o f Sto n e s and ” “ ” O th e r P o em s in 1 8 8 2 ; I n War Tim e s a no v e l 1 8 8 5 th e fir s t o f a l on g se ri es th e pl o t . , , . . . , , , . . . , , , , , , , , N OVELIST AS A 33 of which was laid in Phil adelphi a Novels a nd book s o f verse appeared almo s t annually a fterward e ach one increasing the popularity their author had won I n the o rder “ named have bee n publish e d Roland Blak e a “ ” n o vel 1 8 8 6 ; A M a sque and Other P o ems “ 1 8 87 ; Prince Littl eb o y and Other Tales out ” ” o f Fairyland 1 8 8 8 ; Far in th e Forest a st o ry 1 8 8 9 ; The C up o f Y o uth dr a ma in ” verse 1 8 8 9 ; Franco is Vill o n dramatic p o em “ ” Th e Ps a lm o f Death 1 8 9 1 ; Ch a r 1 890 ; ” “ ” acteristics 1 8 9 2 ; Fra n cis Dr ak e dr a m a tic “ poem 1 8 9 3 ; Wh en All th e W oo ds Ar e “ Green descriptiv e o f f o rest li fe 1 8 9 4 ; Phil “ ” 1p Vern o n dramatic po e m 1 8 9 5 ; C o llect e d ” “ ” 1 896 ; Po ems Mr Kriss Kringle 1 896 ; “ ” “ 1 897 ; Hugh Wyn n e Free ! uaker Th e “ ” 1 899 ; Adventures of Fra n c o is Dr N o rth ” ” and His Fri en ds 1 9 00 ; Th e Wager 1 90 0 ; “ “ ” Circumsta n c e a n o vel 1 9 0 1 ; Pe arl 1 9 0 1 ; “ ” C o medy of C on sci e nce 1 9 0 2 ; Lit tl e Stor ” ” “ ies 1 9 03 ; Y o uth o f W as hi n gton 1 904 ; . , . , , , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , S WE I R M I T C HELL 3 4 . 1 905 ; C o nstance Tr e scott A Diplomatic ” ” 1 905 ; Adventure The Mind Reader ” “ “ 1 907 ; A C hristmas Venture The 1 9 07 ; ” Red C ity 1 9 0 7 ; The Comfort o f the Hills ” “ John S herwood I ronmaster 191 1 ; 1 909 ; ” “ and Westw ay s A Village C hronicle 1 9 1 3 , , , , , , , , , , . A S A POET N LY a few prose writers hav e been poets o f note but it has been said ’ that D r Mitchell s poetry will al ways live and that his reputa tion as a poet will g row H is poems rang e f rom little C hristmas verses sent to friends to “ Fr ancis Drake a Tragedy o f the S ea the fine V ivid f orce ful poem which has been classed with the best d r amatic p o etry in Eng “ lish literature H is beauti ful lyrics T o A ” “ M agnolia Flower and the songs G o od “ ” ’ ” Night and Evening are well w o rth on e s ’ while A s for Dr Mitchell s supreme e ffort in ve rse critics like C harles Eli o t Nort o n and Tho m as B ailey Aldrich agreed at the time o f its “ ” publication that the Ode on a Lycian Tomb w as one o f the f our or fiv e gre a t elegiac poems in English I t may be o f interest to qu o t e a f e w o f his , . . , , , , , . , . . , . 3 5 S WEI R 6 3 MITCH ELL . verses e specially with a view of keeping his ver s a til it y a s a poet in mind I n a little poem sent “ to h is f riends one C hristmas called King ” C hristmas and M ast e r New Year he writes , . , , ! i ng Chri stm fro m h is h o u se o f ic e Lo o k ed o u t acro ss th e sno w ” H all o m y li ttl e m an ! h e cri ed N o w Whith er d o st th o u go as . , , “ g th e w ay Th at al l m y kin h ave go ne Wh ere y o u m y l o rd sh all f o llow ” B ef o re ano th er d awn I go , m y l o rd , l a on , , , m e . And closes with bid thy gall an t co m pany Rid e o nward w ith o u t f ear ; F o r I th e ! i ng o f Chri stm as H ave bl essed th e gl ad N ew Y ea r N ow , , . “ Two verses of The S o ng o f the Flags upon the re turn o f battle fl ags to vari o us states o f the C o nfeder a cy a re p a rticularly musical and vigo r o u s ! , , AS A POET W l 3 7 d th e wild cl am o r o f b attl e ’ T h e crash o f th e m u sk et ry s rat t l e T h e b u gl e and dru m We h ave dro op ed in th e d u st l o ng and lo nely ; T h e bl ad es th a t fl ash ed ! o y are r u st o nly T h e far ro lli ng w ar m u sic d u m b e o ve , , . , , - . Bl o w fo rth o n th e so u th W i nd to greet 0 star fl ag ! o nce eager to m ee t u s Wh en w ar li nes were set G o c arry to far field s o f gl o ry T h e so u l stirri n g thrill o f th e sto ry Of d ays wh en in anger w e m et us . - , . Listen for a m o ment to th e music o f darell o Gu idarell i Still h ears o u r wo m en si ngi ng ’ l o ve ch arm so tis said o ne For a - , , G u idarel lo G u idarel l i ! Li k e a , l o ve m ass - ” fo r th e d ead . caressi ng i terati o n Wi th h is nam e th eir vo ices pl ay Elli N elli G u idarel li Thro u gh so m e b u sy m arket day In ” , , , - . “ An d to o ne v e rse o f To A M a gno li a Gui S 8 3 . WEI R M ITCH E LL wid e th e gl o ry o f thy p er fect bloo m ! C all every wi n d to sh ar e thy scen ted breaths ! N 0 life is bri ef th at do t h p erf ect i o n w in ’ T o day is thi ne to m o rro w th o u art d eath s Set . - ! ! . I n th e Ode on a Lycian T o mb the p oe t took his inspir a ti o n said Richard W a t so n Gilder from the m o num e nt which is now in the Mus e um o f Co nstantin o pl e an d h a s on its four sid e s eighteen comp artments in which th e s ame woman a ppe a rs carv e d in m a ny atti tu d e s , , , o f grief . Wh at gr ci gri ef is h er e ! ’ One w o m an g arb ed in so rro w s every m o o d ; E ach sad pr esen ti m en t cell ed ap art in f ear Lest th at h erself u p o n h erself i n t r u d e ’ A nd brea k so m e t en d er dream o f so rro w s day H ere cl o i st ered l o nely set in m arbl e gray a ry o u s nu nne of , . , p al e pro cessi o n o f i m m o r tal l ove F o rever m arri ed to i m m o rtal gri ef ! ’ All o f life s child li k e so rr o w f ar ab ove ’ P ast h elp o f t i m e s co m p assi o nat e reli ef Th ese ch angel ess sto nes are t reasu ri es o f r egret A nd m o c k th e t erm by tim e fo r so rro w set O , ! , . , AS A CITI ! EN R M I TCHELL was a m a n o f large vi ews and one much intersted in public a ff airs He was in demand fo r lectur e s a nd a fter di n n e r sp e ech e s As a m e mber o f the C a rn e gi e Fo un d a ti o n h e h a d t o d o with th e pro moti o n o f vari o us educati o nal instituti o ns and a t tim es to o k gre a t interest in certain re form movem e nts and in l o ca l p o litics and h e always us e d his i n fluence f o r th e b e tterment o f mu n icip a l c o ndi ti o ns His a dvice was s o ught a b o ut v a ri o u s a nd sundry m o vements for the b e tt e rm e nt o f h u manity an d he was consult e d by a t l ea st two presid e nts o f th e United St a t e s up on p ublic questions He did much to pr e serve th e l o cal hist o ry o f Philadelphi a and was a ls o instru mental ih h a vi n g many of th e hi s to ric a l pl a c es in Virgi n i a pro p e rly pr e s e rv e d H e l ent bo ok s . . - . , , . ! . . 0 4 AS A CITI ! EN 1 4 and gave other assist an ce t o anyon e s eeking his help and m any physici a ns s o cialists authors and philanthropists owe t o him the inspiration and direction o f their work He did more than anyone else to organize build and equip the new C ollege o f Physicians in Philadelphia and to o h tain f o r them their wonder ful library The Wei r Mitchell Hall in this building w as n amed in his hon o r , , , . , . . PE RSONAL RE C OLLE CT I ON S R M I T C HELL was known to the writer through generations of family friendship h is g r and f ather living in Je ffe r son C ounty now West Vir ginia but then a portion o f Virginia a n d h is ’ father were friends o f the writer s ancestors ’ and during Dr Mitchell s childh oo d he spent a good part of sever a l years at the plantation home o f Henry St George Tucker and thus b e came a childho o d friend o f h is sons B everley John Randolph S t Ge o rge and D avid Tucker I have he ard my grandp arent say that at this time Dr Mitchell w as not a pa rti c ularly robust youth that he w as fond of fishing and of going out under the trees lying on h is b ack and med it ating hours at a time Dr Mitchell never f o r got these days and o ften sp o ke to me o f the fa m ily pray e rs which were held when my great gr andm o ther a very pious lady kept a gr e en . , , , , , . . , , , . , . . , , . . , , , 2 4 PERSONAL RE C OLLE C T I ONS 43 u m brella by her side w ith which to poke the boys o r servants w ho became inattentive or d ro w sy d u ring this dai ly religious f u nction He w ould also recall the days i n which as a boy he a nd the others would play circus on the plan t a tio n and it w a s here that he learned to ride and shoot With S t George Tucker he went hunting and shot h is first squirrel He S aid he w as proud of h is marksmanship until he went to pick the squ irrel up and it bit him through the thumb w hen he w a s told he must always S hoot a squi rr e l through the eye ! The evenings w ere spent in reading and conversation S everal years ago in going thr o ugh some o f his old papers he f ou n d and sent me the auto graph o f my great grandfather Judg e H St George Tucker which he had asked for and which Judge Tucker had given him a ecom by the following verse a n i e d p . , , , . . . , . , - , . . , “ t im e h as p as sed m y fri end wh en yo u thfu l prid e A neat fac Si m il e co u ld h ave su ppli ed ’ By ti m e th e vigo r o f th e arm s u nm anned The , , . WE I R M ITCH E LL S 44 . tr em bling p alsy sh akes th e aged h an d ’ I n seco n d childh o o d as in lif e s fi rst stage Th e veri es t p o t h oo ks m ar th e bl o t t ed p age An d . , , - . At th e age of seventy sev e n Dr Mitchell sent me this vers e and auto gr a ph with a kindl y note in his o wn trembling hand This chil dh oo d friendship co ntinu e d a nd whe n my father a s on o f B e v e rl e y Tucker w as taken extremely ill with an obscure disease in the sev e nti e s Dr Mitch e ll tr e ated him and it w a s largely thr o ugh his advice th a t th e p a ti e nt r e co v e red dying unf o rtunately sev e r a l y ea rs a fterw a rd o f typhoid fev e r So wh en I w e nt t o him to ask his advic e ab o ut o btaini n g p o st grad u at e work in nervous diseas es I found a r ea dy and r e sponsive friend and a dviser I shall ne v e r forget my first impr e s s ion o f that visit I was ush e r e d int o th e w a itin g r oo m o f his o ffi c e and resid e nce at 1 5 2 4 Walnut Stre e t by a d oo r m a n in kn i cke rb o cke rs with a r e d v e st and br ass butt o ns a nd a sw a ll o w tail c oa t It w as a fte r o ffi c e h o ur s Th e r oo m w as much - , . , . , , , , . , . - , . . - . . PERSONAL RE COLLE CTION S 45 li k e and still di ffere n t fr o m th e waiting ro o ms of pro mi nent physici a n s eve ryw here In the corner by a windo w sat before a typewriter his secretary a middle aged lady who had served in that capacity for many y e ars The r o om was furnish e d chiefly in old wal nut of several vint ages the b o ok S helves w e re filled with us e d b o ok s on the w a lls hung vari o us en gr a vings and a water color o f a huge rattl e s n ake while pictures o f his m e di c al frie n ds and p atients perched o n th e b ook sh e lv es the m a ntel and everywh e r e In th e cent e r o f th e r oom which was carpeted I r e memb e r with a d e ep r ed rug gi ving a sens e o f warmth a n d comfort on thi s cold Dec e mb e r day was a large obl o ng walnut table pil e d with b ook s and mag a zines Ab o ut this time the f o lding d oo r o p en ed and an o ldish gentl e man in a br o wn velv e t sm ok i n g j acket a red ti e and check e d w aisc o at a n d tro u s ers step ped al e rtly i n t o the r oom I also no ticed that h e had a whit e rather scr a ggly b ea rd that his w hi te h a ir wa s p a rt e d i n th e mi d dl e th a t h e . - , . , , - , , . , , , , , . , . , , , S W E I R MITCHELL 46 . looked at me kindly with clear bl u e eyes and that h is feet w ere exceedingly well gro omed and r ather small f o r h is S ize He w a s s ix feet his head w as splendidly d e veloped he stooped a lit tle at the S houlders and the hand he extended trembled I had been c o nsiderably awed at the pros p e ct s o f this interview but I b egan to feel a little mor e “ at ease w hen he said Well Tuck e r I a m glad ” to s ee you in a voice which co mbined kindness and power in a w ay no other voice has that I have ever heard He led me into his o ffi ce and motioned me to a seat and prob ably seeing that I w as a little embarrassed instead of taking his o flilc e chair at his large double handsom e ly carv e d fl at top desk t o ok an ordina ry chair rested h is elbow on the c o rner o f his desk and a s I a fterward found h is habit w as rested his head upon h is hand with two o f the fing e rs slightly b ack of his e ar I imagin ed he must be a little de a f a nd he really w as He knew that I had come to as k him ab o ut getting p o st , . , , . , , , , . , , , , , , , , , . , . , S WEI R M I T C HELL 8 4 . the man appeared ordered some brandy and w ater which he o ff ered me and I t o ok When Dr Mitchell took h is brandy h e lo o ked at me “ i z i c a ll u and said I am glad to ee you have s q y some petty vices I hope you have no great ones I am usually a fraid o f a man who has no petty vices He then st oo d up and lean ed his elb o w on the mantal where a wood fir e was burning on brass andir on s and told m e he w o uld obt a in for me the h o spital app o intment I want ed I told him I had some fear as to the wis dom of my attempting nervous diseases as I did n o t kn ow whether I w o uld be equal to the o p r i i ff o n e he was o e ring me e then said t u t s H p som e thing which h a s helped m e in many d e “ c i s io ns Never fail he said t o a ccept a ny ” opportunity which will bro aden your horiz o n I l e ft sh o rtly afte rward feeling that I had a friend and advis er indeed I wa s too taken up with the man to notice much about his o ffice at this tim e A S I wa lk ed out o n Walnut Street that wint e r a ft e rn oo n I kn ew that I h a d been , . . , . . . . , , . . . . , PERSONAL RE COLLE C T I ON S 49 in the prese n ce o f a gr e at man but some things about him struck me oddly His legs and feet were youthful his hands and he a ring aged h is body and mind middle aged and his pers o nality adaptable to any age Fleeting impressions p a int t rue pictures at times though lacking in detail Dr Mitchell once told me that m a ny of the scenes in his novels he drew from real life ; for “ instance the scene in C o n sta n c e Trescott o f old Mrs A v aril picking roses in h e r gard e n was a reproducti o n o f Mrs Cynthia C o leman o f Williamsburg V a culling roses in her g a rden ’ one summer s day whe n he chanced to b e visit ing that historic old town and stopp e d at the garden fence to wat ch her When he wrote his poem on the return of the battle fl ags of the C o n federacy he showed the manuscript to a Southern lady pati e nt and was much amused wh e n sh e told h im that Sh e “ thought the poetry very fine but that the Yan kees should never have taken the b attle fl ags and that sh e was an unr e c o nstructed r e b e l s till , . , , - , . . . , . . , . , , . , . WE I R MITCHELL S 9 5 . He was fond o f champagne and when at a dinner party one night the lady next to him “ asked Why Doctor you do not drink cham pagne d o yo u he r e plied w ith a twi nk le in his “ eye Y es M adam for bre akfast dinner and ” supper A prominent minister w as among the guests and a fter dinner w hen he refused a cigar Dr Mitchell told him that a pre acher should have ” “ some inn o cent vice and te ased him s aying that i f he had known h ow g o o d he was he would have opposed his being called to Ph il adel phia The story o f the Northerner learning to shoot and S h o oting so many p eople as described in ” “ C haracteristics w as told to him by a former assistant from Arkansas as true Dr Mitch ell w as f o nd o f telling anecdotes about this as s ist ant w ho w as with him j ust preceding the “ ’ ” war He re a d medicine in Dr Mitchell s o f fic e When he came t o Dr Mitchell the Doc t o r asked him what a cc o mplishments h e had - , , , , , , , , , . , , . , . , , , . . . . . . , , PER S ON AL RE COLLE CTIO NS ‘ 5 1 and the Arkansan said he had only one where upon he pulled a bowie kni fe from h is boot and threw it across the room so that it stuck in the ’ panel o f Dr Mitchell s mahogany o ffi ce door The Doctor told him that was fine but that it w a s a meth o d of surg e ry which h a d not yet re ached Philadelphia Dr Mitchel believed in S pending mon e y lib er a lly and onc e told me that it w a s a pity for a m a n not to spend most o f h is income and th a t h e believed it was wro ng for a physician t o charge exorbitantly He told me of a wealthy patient from C hicago whom he cur e d of s ome simpl e m a lady and c h arged him The wealthy patient w as astonished at th e small fee and told Dr Mitchell that if h e had charg e d him he w o uld hav e gladly p a id it Dr Mitchell told him that ev en if he had h e would have gone back to Chicag o and n e ver ceased to tell people how exorbitant he was Dr Mitchell seemed t o be able to acc o mplish more d o it m o r e th o roughly an d without a pp a r , . . , . . , , . . . . . . , 5 MITCHEL L S WEI R 2 . ent hurry than anyo n e I hav e ev e r s e e n I h e ard him s ay that no detail o f e xa min a ti on o r treatm e nt however lab o ri o us should e ve r b e overl o oked A p atient o f his a t th e Orthopaedic Hospital and Infirmary for Nerv o us Dise a s e s tha nk ed him one d a y f o r taking so much trouble “ with her case and he repli e d M a d a m yo u need not fl atter yo urself I take j ust as much ” tr o uble with any pati e nt who c o nsults me As a n illustration o f his abili ty t o pick out a clue t o a case which had b e en o verlo o k e d by o th e rs it is of interest to say th a t this p atient had been b ro ught t o Dr Mitchell by tw o prominent nerve speci alists I h a ppened to be present a t thi s first consultati on The tw o do ct o rs referr e d t o had a hist o ry o f the cas e c o nsisting o f si x p ag es o f f o olscap closely written Dr Mitchell care fully re ad this wh o le hist o ry and then turning “ to the physici ans said Y o u h a ve n o n o te o f “ ” ” the condition o f her he art N o they s a id “ w e h a ve omitted that Wh e r e up o n Dr ’ Mitchell list e ned to th e p a ti e nt s h ea rt a nd im . , , . , , , . . , . . . . , . ! . . , , . PERSON AL RE COLLE CTIONS 53 medi ately dete ct e d a le a king v a lve This he a rt tr o uble accounted for h e r symptoms I n the summer o f 1 9 0 5 a pr o mi ne nt C a na dian o ffi cial talked very fr ee ly t o Dr Mitch e ll ab o ut government a ffairs and th e n ask e d him n o t t o divulge anything that was t o ld him a n d re this request Wher e up on Dr Mitch e ll ea t e d p r e plied that during his life time he h a d k e pt m o re s e crets than any fiv e British vic e ro y s e v e r h e ard ! He h a d a r em a rk a bl e m e m o ry an d h is se c r e tary o n ce t o ld me wh en I r e m a rke d up on thi s t o her that a f ew m o nth s b e f o r e a m an c a m e “ ’ into his o ffi c e a nd s a id ! D o cto r I d on t ex pe et you can r e memb e r anythi n g ab out m e f o r ” it has b e en 3 2 ye a rs sinc e I c on sult e d y ou Dr Mitchell to ld him that h e w o uld no t a ttempt to rem e mber his n a me but a sk e d him f o r wh a t malady h e h a d co nsult e d him an d as soon as the man told him he r e memb e r e d th e wh ol e case a nd describ e d it a ccur a t e ly to th e gr ea t a s to ni s hm ent o f th e f o rm e r p a ti ent . . . , . . - , , , . , , , , . . S WE I R 54 . M ITCH E LL H avin g heard the st o ry of hi s consulting some nerve specialist abro a d and o f this sp e cial ist reco mmending him to consult Dr W e ir Mitchell o f Philadelphi a I asked him on o ne occasion to tell me the tru e sto ry He repli e d that he was in Paris and had been overworked and felt much ru n do wn s o h e decid e d t o con sult the great nerve sp e ci a list Dr Charcot Wi s hing an indep en dent o pini o n he did n o t give his n a m e Dr Ch a rc o t examined him a nd gave a few S imple directi o ns and then tu rning t o him asked him where he was from Dr Mitch e ll to ld him he w a s fro m Philad e lphi a “ Then Dr Ch a rco t sa id You have a m a n in Phil a delphi a wh o k n o ws m o r e ab o ut run d o wn ne rvous c o nditi o n s th a n anyo ne e lse I kn ow o f and I will giv e yo u a lett e r to Dr S W e ir Mitchell whom yo u must c o n s ult Dr Char cot st a rt e d th e l e tter The situati o n was so ludicrous that Dr Mitch e ll l a ughed and whe n Ch a rc o t asked him wh a t he was laughing a bout Dr Mitch e ll h an d e d him hi s c ar d Dr Ch a r . , , . - , , . . , . . , . . . ! . - , . , . . . . . , , . . . S 6 5 . WEI R M ITCH E LL one of the m o st e nj oy a ble o f which he h ad e ver partaken H e to o k a gre a t int e r e st in things i n Virgini a and n o t in f requ e ntly visited Richm on d He onc e visit e d Westrno rel and C o unty o n a yacht ing trip and to o k o cc as i o n to l o ok up th e home s o f the W a shi n gtons and Le e s Upon hi s re t urn he to o k u p th e matt e r o f th e c o nditi o n o f the gr a v e s o f th e s e famili e s with th e pr o p e r au th o rities an d h a d th e m put in much b e tt e r t e pair Th e re w as h a rdly a pl a c e whi c h he vi s ited which did n o t p r o fit i n o n e resp e ct o r a n o th er by som e s uggesti o n o r a t tim e s e v en by mor e substa nti a l a id The i n st a nc e r e l a t e d in Westw ay s o f J o hn P enh all o w ch as i n g in a skirmish a dis a rm e d Confed e r a te C o l one l t o c a ptur e him b e i n g t o o h o norabl e to sh oo t a disarm e d man a nd o f th e Colon e l a fter a hard rid e turn i n g a s h e en t e r e d s o me w oo ds and t e lling P ennh allo w to st o p a nd c a lling to him th a t it w as u se less f o r him to f oll o w as ther e w e r e C on f e d e r a t es a f ew . . . . . , , , PERSON A L RE C OLLE CTIONS 57 hundred yards on the other side o f the woods ’ thus saving each o ther s lives w a s a tru e story ’ and happened to one of Dr Mitchell s broth ers The Confederate thanked him f o r spar ing h is li f e and C01 Mitchell th a nked the C o n federate for keeping him fr om death or capture They waved their hats to each o ther and went their separate ways These two c o l o nels met years a fterwards at a dinner in Chicago Dr Mitchell finished this a n ecd o t e by s a ying th a t m any such insta n ces o f g a ll a ntry o ccurred dur ing the war and that they sh e d happy rays o f light upon that terrible and gl oo my con flict ’ Aprop o s o f Dr Mitchell s study o f s nake venoms a friend o f his t o ld me the fo ll owing S ome o ne once se nt him a l a rge rattl e r fr o m Arizona in a wo o de n box This w a s shipped t o his Offic e instead o f t o the l a b o r a to ry and Dr Mitchell let it stay in his o ffic e o ver night to be taken out to the lab o rato ry i n th e m o rn ing The rattl e r was six f ee t long and that night whil e Dr Mitchell w as reading it g o t o ut o f th e b ox , , . . . . . . . . . , . . , . . ! . s WE I R 8 5 MITCHELL . without his n o tice and climb e d up the b ack o f ’ h is chair and put its head over Dr Mitch e ll s S houlder The Doctor then noticed it and with rare presence o f mind s at still while the snake moved its head b ack and forth f ascinated by the light o f the lamp The snake touched th e lamp globe and this being hot made it m ad and it drew up fu rther and turned its head to ’ Dr Mitchell s face They w a tch e d each oth e r Dr Mitchell slowly and cautiously r e ach e d out his h a nd f o r a large metal p a per cutter which was on his desk watching the snake all the time Wh e n he reached it with a sudden twist o f this improvised weapon he struck the snake on th e neck knocking it to the floor and he escaped from the room Afterwards the snake was re cap tured with a n et Dr Mitch e ll once s aid to me that he r e gretted the impression had g o tten out in some circles that he w as more interested in literature and novel writing than in medicine He said that lit of cour se but c r a ry pu rsuits were inter e sting , . . , . , . . . . - . , , , , . . . . , , PERS ONAL RE C OLLE C T I ON S 59 unimp o rtant w hen compared w ith medicine and that he w as much more interested in h is p ro f es sion than in anything else Dr Mitchell seemed to have the faculty o f a double mental grasp He co u ld read between the lines and still comprehend the lines This made him re adily u nderstand both what people appeared to be and what they really w ere He w as hard to deceive I t w as a revelation and a source o f constant inform ation to make rounds w ith him He had a w ay o f imparting h is knowledge succinctly and vividly so that even his minor comments were ’ impressed upon one s mind Patients consulted h im not only f r om all over the United States but many from abroad H is observation w as acute and he had the knack of arriving at the main clue to a case very qu ickly This faculty ho w ever never precluded a thorough and co m l m e e exa ination A patient had an attack t p while waiting on one o f the clinic benches one a fterno o n A clinical assistant s aw her and laid , . . . . . . . . , . . , . . , S WEI R M I TCHELL 60 . her out o n t h e b e nch and made a cursory ex amination The attack w as thought to be an ordina ry hysterical seizure About this time Dr Mitchell came in and as k ed what w a s the m atter with the girl He was told that she Sim ply had an hysterical attack He w e nt over to her rapidly examin e d her refl ex e s asked a few questi o ns o f her companion and sent for the su er e n i n t e n t t o take her stairs and admit her d u p p to a bed and turning t o the assistant s aid “ You are entirely w rong This woman is in the last st a ges o f b rain tumo r and will di e b e fo re morning The various assistants a round c o uld hardly believe such a grave prognosis A f te r the patient was put to bed S he was thoroughly exami n ed and the diagn osis confirmed and sh e died during the night Everything physiological w as o f special in terest to Dr Mitchell and b e contributed accu rate and valuable kn owledge to such subj e cts as the origin of cat and o th e r animal ph o bias blood corp uscl e conf o rmati o n in v a ri o us a nim a ls and . . . . . , , - , , . , . . , , . . , , PERSONAL RECOLLE CTI ONS 61 to the heredit ary results o f interm arriage with relations I have heard him s ay and I think he h as published some w here that in his o b ser vation the marrying o f first cousins rarely pro du c ed harm ful results i f the man resembled one branch of the family and the girl the other but that the children showed more ma rked defects when such was not the case ’ At a dinner party at Dr John Mitchell s one night Dr Weir Mitchell and Dr Chath a m Pro f essor o f Physiology at the Univ e r s ity o f Pennsylva n i a began t o discuss the character of blo o d corpuscles of di ff erent animals All other conversation was suspended while these two learn ed men discussed this subj ect and sh ow ed themselves equally familiar with the blood o f rabbits chicke n s lions tigers etc as w ith huma n bl o od An interesting story in this c o nn e ct i on is told of Dr Mitchell I t s e ems that years ago a ’ certain gentleman phoned for the police and said that he was att a cke d by r obb e rs a nd that , . , , . . , . . , , . , , . . . , , . , S WE I R MIT C HELL 62 . h e had wou nd e d o ne o f them and showed bl oo d on h is premis es in evidence of th e conflict N o other trace o f burglars was f o und and the at tack a ttracted considerable attention in the ne w sp apers W ithin a year the s ame thing o c curr ed Again there was conside rable publicity but the robbers were not fou nd Within another ye ar a third attack w a s reported and this tim e ’ it w a s said that the bloody print of the robber s h a nd w a s left on the b ack yard fence The p o lice were much puzzled and the pap e rs full o f the story Dr Mitchell o f his o wn initiative quietly w ent to the premises scraped some o f the bloody print o ff took it home and examined it under the microscope He easily recognized that it w a s chicken blood and not human blood and notified the police telling them to search the premises for the chicken This w as done a nd the mutilated fo w l found in the basement N o othe r assaults were rep o rted When I fi rst w ent to Philadelphi a Dr Mitc h ell told me humorously th a t he wanted t o ex , . ’ . . . - . . , . , , , . , , . . . , . W E I R M I TCH ELL S 64 . sci entific man In th e grate in du e s eason b l a z e d an attractive w oo d fir e Th e furnitur e w as ha n dsom e and fitting and carp e ts h a ngings an d wa l ls all i n harmony The desk set was o f sil v e r he a vy a n d ha nds o m e a nd o n th e des k without t oo much regard o r t oo much disr e g a rd for ne a tnes s and a rra n gement w e r e l a id ma nu scripts b ook s p a pers mag a zin es an d o n e o r tw o instruments f o r sp e ci a l ex amin a ti on o f p a ti ents It w a s s om e tim e s o rna m en t e d with a vas e and a few fl o w e r s O n th e w a ll hu n g a m a gn ific en t lif e s i z e p o rtrait o f Sir Willi a m Harvi e a nd p a i nti n gs e tchi n gs e ngr a ving s a nd fr a m e d l e tters e ach with s o m e p e cul i a r int e r e st o f its o wn O n a st a nd by th e wind o w in a glass cover e d case was a death ma sk o f D a nt e B ooks m a ny o f them mo st r a r e an d v a lu abl e filled th e b o o k shelves a nd s o uv e nir s a nd cu ri o s were here and th e r e On e of th ese s truck me pa rticul a rly It w a s a bra s s bo a t pl a t e with “ ” the name Lo rd Byr o n on it I as ke d him th e h i s to ry o f th i s an d h e to ld m e th a t as a yo u n g . . , , . , , , , , , , , . . - , , , , . - . , , - , . - . . PERSONAL RECOLLE CTIONS 65 man he once went with his father t o Engl a nd At this time especi ally he was a great admirer o f Byron and while in England they chanced to ’ V isit some o f Byron s rel a tives I n th e draw i n g r oom he noticed this brass pl a te and was told by one o f the young girls o f the house ’ that it was the b o at plate f r o m Byron s gon dola As they sto od looking at it Dr Mitchell said to his father that he would rath e r h a ve that s o uvenir o f Byron than anything he had seen in E ngland whereupon th e old Docto r “ said to him ! W e ir yo u m a y achiev e success and f ame but every man h a s hi s limit a tions a nd her e is s o m e thi n g a sm a ll thin g in a wa y which n o m a tter how much you desir e it yo u c a n never obtain The incide n t w a s fo rgo tten On ’ Dr Mitchell s seventy fif th birthday th e p a per s in this country a nd abr o ad published an an no u nc em ent of it with a sketch o f his care e r The yo ung girl now an o ld lady who h a pp e n e d to he ar this c o nvers a ti on b e twe e n Dr Mitch e ll and his f a th e r rememb e r e d it a nd s en t him the . , . - - . . , , , , , . . - . . , , . , S WE I R MITCHELL 66 . go nd o l a plate with a l e tter s aying that he had a chi e v e d so m a ny things that she wish e d to make this p a rt icular desire exp ress e d in his y o uth compl e t e N o doubt some o ne will WI l tC a c omplete b i o grap h y of Dr Mitchell Th e se littl e reco ll ec tions h o wev e r are inter e sting as e verything about a gr eat m a n is o f interest Gather e d here and there they are told so as to throw S ide lights upon the man as I kn ew him We now a ppro ach the cl o se of this bri ef S ketch Dr Mitchell w as active m e ntally and physically up t o a week bef o re his d ea th at tending to his o ffi ce practice paying o utside vis its and making r ounds in th e h o spit a l He caught a cold to which he p aid but little att e n ’ ti o n I nfluenza s et in and a fter a week s ill ness he died being co nscious to the end o n the fourth day of Janua ry 1 9 1 4 His funeral was ’ held in St S tephen s Church The services were marked by their S implici ty M en o f pr o minenc e from di ff e rent p arts of the co untry w e nt to pay , , , . ‘ . , . , . , . . , . , , , . . , , . , . . . PERSONAL R E COLLECTI ONS 67 their last res pects Although the church was crowded to the doors with eminent physici a ns auth o rs philanthropists public men and w o men and nurses who had worked under him a remark o f his friend Dr William J Taylor to me during the s e rvices seemed to me an ex tr em ely fitting comment upon a wonderfully u s e “ ful li f e He s a id I n all this v a st congrega t i on I do not b e lieve I see a person whom in one way or another Dr Mitchell has n o t p e rsonally ” aided or encour a ged I n work or amb iti o n This fitting verse was written by Richard J B eamish and appe a red i n th e Phil a delphia P r e ss a f ew days a fter h is d ea th ! . , , , , , , . . . , . . . T H E US E F U L LI F E l o ng l ean h ands are fo ld ed and th e rest H e ea rned li es sweet u p o n h im ; al l th e wi se Sane life th e h elpf u l wo rd th e r eady ! est D ep ar ted with th e light fro m h is k i nd eyes Em ancip ated fro m al l need o f car e H e still to o k c ares u p o n h im fo r th e ! o y ” Mak e m e u sefu l w as h is prayer O f d o i ng The , , , . , “ . , . S WEI R MITCHELL 68 . h eart h e to o k th e crippled b o y H e t aught th e t o rt u red so u l to fin d reli ef Al l th e well s I n p eacef u l rel ax atio n T h e gri ef O f hi sto ry wer e pl u m b ed by h im A nd ! o y o f lif e are in th e t al es h e tell s Phil o so ph er physici an p o et sage H is wo rk enno bles and u plif ts th e age T o h is . . . . , , , , . With th l S I close exc e pt t o say th a t Dr Mitchell was a true Christi an H e loved his fellow men and gave th em his li f e w o rk but in no whit less degree he l o ved his God a nd r e n der e d Him servic e . . - - . , y C OLUMBI A UN I V ERSITY “ LI BRARI ES T i s b o o k i s d u e o n th e d a e i n d i c a e d b e l o w , o r a t th e o w i ng , ex p i a i o n o f a d efi n i te p e i od a f e r th e d a e o f b o a n g em e n u l e s o r b y s p ec i a l a a s p o v i d e d b y th e l i b a y th e L i b a i a n i n c a g e wi h r t r th r r r D A T E B O R R O WE D r r r h r t . t t t rr rr t
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