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neurology from the beginning."^® It apparently was on a courtesy basis, since he remained based in Winston-Salem and served as the regional member of the admissions committee/ He did come to Durham at intervals to teach. In 1933 he came permanently as the Florence McAllister Professor of Medicine, a title he retained until his death. In personality, Hanes was quite different from Osier. He was more private, formal, cool, somewhat distant but always very professional. In public, he was meticulously dressed and each day at the school wore a fresh, starched long white coat. Like Osier at Oxford he had a chauffeur, but Hanes's chauffeur also served as butler. Hanes was married to a charming woman who had been a nurse. They had no children. He required formal well-appointed settings befitting his family background. For his office suite he was given the dean's large one, and Davison moved into a smaller one that was nearer the entrance and more accessible to students. Hanes took over the large stone house built by the University for the vice-president and ideally suited for large-scale entertaining. It had no tennis court or greenhouse as did Osier's Oxford home at 13 Norham Gardens, but it did have billiard and card rooms which were used during parties. Hanes took a great interest in the University's Sarah Duke gardens and grew prize irises at his home. It is said that, in order to retain some independence, Hanes accepted a salary of only one dollar per year. It could not be determined whether the Haneses paid rent for the house or whether it was a perquisite in view of his salary. Hanes did not make daily rounds for teaching on the wards as Osier did at Hopkins, but came weekly. He demanded equal treatment for all patients and insisted on respect for their dignity. He admitted few to himself, but would consult on others. His "grand rounds" were formal, weekly classroom conferences in which he gave the chief resident much responsibility for selection of patients, as he did for the medical cases chosen for weekly school-wide amphitheater clinical pathologic conferences, some of which he gave. No one now remembers him ever mentioning Osier in his teaching. His published papers were always clinical in nature on a variety of subjects, but few were in neurology. He recognized a public health problem in bromide intoxication from excessive use of widely available over-the-counter powders. He became very interested in sprue, wrote repeatedly on it and supported laboratory research on the role of liver in therapy. He encouraged others' research on nutritional problems, which included early work on pellagra and other vitamin deficiencies. He backed and defended the early laboratory research of Kempner whom he, with help from Mrs. Hanes, had brought from Germany. That work developed into the rice diet which brought much publicity and many famous or wealthy people as patients. The only reference to Osier found in Hanes's publications was the quotation of an aphorism: "One thing a consultant can do that has not been done is a rectal examination." A rare paper of a more classical nature was on Samuel Johnson's congenital tics in relation to his eccentric personality and outstanding scholarship. Hanes was interested in libraries, both the facilities and the books. He maintained one in his home where he is reported to have shown books to students.^ This activity must have occurred irregularly, perhaps during large parties, since no one recalls regular small sessions like those Osier had held on Saturday evenings. Hanes's personal library contained some valuable historical books, but there was no central theme. On his death Mrs. Hanes gave most to the University of North Carolina. Some were given to the Perkins Library at Duke and others to the medical school. Hanes was responsible for roofing a courtyard which greatly expanded the school's library and reading area. It was the first student-used space to be air-conditioned and was handsomely furnished. He was successful in enlisting help from friends for paneling, pictures, and furniture. Hanes gave generously to the school as shown also by the construction of a large, needed parking lot. Occasionally he would give a resident a book or a piece of his own clothing. He set up a research fund in honor of his mother, and left his estate to the department and school equally for the promotion of teaching and research.'^ Osier apparently had not supported research financially. After Hanes's death, Mrs. Hanes gave a building for the nursing program; Lady Osier on her death willed their home, "The Open Arms," to Oxford University for future use of the professor of medicine. Hanes liked to take long summer vacations away from the school, as had Osier. He had a second home with a separate guest house in the mountains at Roaring Gap which he used for personal relaxation. It was there he met Dean Davison in 1927. Hanes did not use his vacation time to attend meetings as had Osier. He was not an organizer of societies as Osier had been and did not seek offices in them. He worked over the years with the North Carolina Medical Society and supported its efforts to pass health legislation. On several occasions he sent a resident to serve as locum tenens for the society's secretary who had been elected a state senator. He once sent a resident from another service to serve for six months as pathologist in the city hospital of his home town. He would bend rules as Osier had at Oxford. He was not interested in personal income from practice, but initiated a departmental plan to funnel funds back into research, expansion of staff, or future construction. Hanes set a tone for his department as a general one, and for student attitudes and decorum directly by his actions with patients. His standards of teaching and care followed Osier's, even though he probably had little personal contact and rarely, if ever, referred to him. Students and residents thought of Hanes more with respect than with affection. He was not a warm or charismatic person, as was Osier, and his social contacts with stu- SO NCMJ / Jamiars' 1988. Volume 49. Number 1
Object Description
Rating | |
Fixed Title * | NCHH-17: North Carolina Medical Journal [1940-Present] |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1988 |
Identifier | NCHH-17-049 |
Form General | Periodicals |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 49 |
Health Discipline | Medicine |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-049.pdf |
Document Sort | all; nchh-17 |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-049 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
Description
Fixed Title * | Page 92 |
Document Title | North Carolina Medical Journal [1940-Present] |
Subject Topical Other | Public Health -- Periodicals.; Physicians -- North Carolina -- Directory.; Societies, Medical -- North Carolina -- Periodicals. |
Description | Includes Transactions of the Society, -1960; 1961- , Transactions issued separately, bound in.; Includes Transactions of the auxiliary to the Medical Society of the State of North Carolina and Proceedings of the North Carolina Public Health Association. Official organ of the Medical Society of the State of North Carolina, 1940-May 1972; of the North Carolina Medical Society, June 1972-. Vols. for 1940-May 1972 published by the Medical Society of the State of North Carolina; June 1972- by the North Carolina Medical Society. |
Contributor | Medical Society of the State of North Carolina. Transactions.; Medical Society of the State of North Carolina.; North Carolina Medical Society.; North Carolina Medical Society. Transactions.; North Carolina Public Health Association. Proceedings. |
Publisher | [Winston-Salem] : North Carolina Medical Society [etc.], 1940- |
Repository | University of North Carolina at Chapel Hill. Health Sciences Library. |
Host | University of North Carolina at Chapel Hill |
Date | 1988 |
Identifier | NCHH-17-049-0112 |
Form General | Periodicals |
Page Type | all; article |
Language | English |
Rights | This item is part of the North Carolina History of Health Digital Collection. Some materials in the Collection are protected by U.S. copyright law. This item is presented by the Health Sciences Library of the University of North Carolina at Chapel Hill for research and educational purposes. It may not be republished or distributed without permission of the Health Sciences Library. |
Filename | ncmed491988medi_0112.jp2 |
Digital Collection | North Carolina History of Health Digital Collection |
Sponsor | The North Carolina History of Health Digital Collection is an open access publishing initiative of the Health Sciences Library of the University of North Carolina at Chapel Hill. Financial support for the initiative was provided in part by a multi-year NC ECHO (Exploring Cultural Heritage Online) digitization grant, awarded by the State Library of North Carolina, and funded through the Library Services and Technology Act (LSTA). |
Volume Number | 49 |
Issue Number | 2 |
Page Number | 92 |
Health Discipline | Medicine |
Full Text | neurology from the beginning."^® It apparently was on a courtesy basis, since he remained based in Winston-Salem and served as the regional member of the admissions committee/ He did come to Durham at intervals to teach. In 1933 he came permanently as the Florence McAllister Professor of Medicine, a title he retained until his death. In personality, Hanes was quite different from Osier. He was more private, formal, cool, somewhat distant but always very professional. In public, he was meticulously dressed and each day at the school wore a fresh, starched long white coat. Like Osier at Oxford he had a chauffeur, but Hanes's chauffeur also served as butler. Hanes was married to a charming woman who had been a nurse. They had no children. He required formal well-appointed settings befitting his family background. For his office suite he was given the dean's large one, and Davison moved into a smaller one that was nearer the entrance and more accessible to students. Hanes took over the large stone house built by the University for the vice-president and ideally suited for large-scale entertaining. It had no tennis court or greenhouse as did Osier's Oxford home at 13 Norham Gardens, but it did have billiard and card rooms which were used during parties. Hanes took a great interest in the University's Sarah Duke gardens and grew prize irises at his home. It is said that, in order to retain some independence, Hanes accepted a salary of only one dollar per year. It could not be determined whether the Haneses paid rent for the house or whether it was a perquisite in view of his salary. Hanes did not make daily rounds for teaching on the wards as Osier did at Hopkins, but came weekly. He demanded equal treatment for all patients and insisted on respect for their dignity. He admitted few to himself, but would consult on others. His "grand rounds" were formal, weekly classroom conferences in which he gave the chief resident much responsibility for selection of patients, as he did for the medical cases chosen for weekly school-wide amphitheater clinical pathologic conferences, some of which he gave. No one now remembers him ever mentioning Osier in his teaching. His published papers were always clinical in nature on a variety of subjects, but few were in neurology. He recognized a public health problem in bromide intoxication from excessive use of widely available over-the-counter powders. He became very interested in sprue, wrote repeatedly on it and supported laboratory research on the role of liver in therapy. He encouraged others' research on nutritional problems, which included early work on pellagra and other vitamin deficiencies. He backed and defended the early laboratory research of Kempner whom he, with help from Mrs. Hanes, had brought from Germany. That work developed into the rice diet which brought much publicity and many famous or wealthy people as patients. The only reference to Osier found in Hanes's publications was the quotation of an aphorism: "One thing a consultant can do that has not been done is a rectal examination." A rare paper of a more classical nature was on Samuel Johnson's congenital tics in relation to his eccentric personality and outstanding scholarship. Hanes was interested in libraries, both the facilities and the books. He maintained one in his home where he is reported to have shown books to students.^ This activity must have occurred irregularly, perhaps during large parties, since no one recalls regular small sessions like those Osier had held on Saturday evenings. Hanes's personal library contained some valuable historical books, but there was no central theme. On his death Mrs. Hanes gave most to the University of North Carolina. Some were given to the Perkins Library at Duke and others to the medical school. Hanes was responsible for roofing a courtyard which greatly expanded the school's library and reading area. It was the first student-used space to be air-conditioned and was handsomely furnished. He was successful in enlisting help from friends for paneling, pictures, and furniture. Hanes gave generously to the school as shown also by the construction of a large, needed parking lot. Occasionally he would give a resident a book or a piece of his own clothing. He set up a research fund in honor of his mother, and left his estate to the department and school equally for the promotion of teaching and research.'^ Osier apparently had not supported research financially. After Hanes's death, Mrs. Hanes gave a building for the nursing program; Lady Osier on her death willed their home, "The Open Arms" to Oxford University for future use of the professor of medicine. Hanes liked to take long summer vacations away from the school, as had Osier. He had a second home with a separate guest house in the mountains at Roaring Gap which he used for personal relaxation. It was there he met Dean Davison in 1927. Hanes did not use his vacation time to attend meetings as had Osier. He was not an organizer of societies as Osier had been and did not seek offices in them. He worked over the years with the North Carolina Medical Society and supported its efforts to pass health legislation. On several occasions he sent a resident to serve as locum tenens for the society's secretary who had been elected a state senator. He once sent a resident from another service to serve for six months as pathologist in the city hospital of his home town. He would bend rules as Osier had at Oxford. He was not interested in personal income from practice, but initiated a departmental plan to funnel funds back into research, expansion of staff, or future construction. Hanes set a tone for his department as a general one, and for student attitudes and decorum directly by his actions with patients. His standards of teaching and care followed Osier's, even though he probably had little personal contact and rarely, if ever, referred to him. Students and residents thought of Hanes more with respect than with affection. He was not a warm or charismatic person, as was Osier, and his social contacts with stu- SO NCMJ / Jamiars' 1988. Volume 49. Number 1 |
Digital Format | JPEG 2000 |
Print / Download PDF Version | http://archives.hsl.unc.edu/nchh/nchh-17/nchh-17-049.pdf |
Document Sort | all; nchh-17 |
Article Title | The Osler Tradition At Duke |
Article Author | George T. Harrell, M.D. |
Volume Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/identi/searchterm/NCHH-17-049 |
Title Link | http://dc.lib.unc.edu/cdm/search/collection/nchh/field/documa/searchterm/NCHH-17 |
Catalog Record link | http://search.lib.unc.edu/search?R=UNCb1306322 |
Revision History | done |
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