Saturday, August 8, 2015

Daniel Hale Williams, 19th Century Surgeon Who Performed Heart Surgery

Daniel Hale Williams (January 18, 1856[1] – August 4, 1931) was an African-American general surgeon who, in 1893, performed the second documented successful pericardium surgery to repair a wound.[2][3][4][5] He also founded Provident Hospital, the first non-segregated hospital in the United States.[6]

Career[edit]

At the time that he graduated from medical school, black doctors were not allowed to work in Chicago hospitals. As a result, in 1891, Williams started the Provident Hospital (Chicago) and training school for nurses in Chicago, Illinois. This was established mostly for African-American citizens.[7]
In 1893, Williams became the first surgeon on record to have successfully performed pericardium surgery to repair a wound, Henry Dalton was the first. On September 6, 1891,[3][4] Dalton successfully performed pericardium surgery a repair a wound with the patient fully recovering.[8] Earlier successful surgeries to drain the pericardium, by performing a pericardiostomy were done by Francisco Romero in 1801[9] and Dominique Jean Larrey in 1810.[10]
On July 10, 1893, Williams repaired the torn pericardium of a knife wound patient, James Cornish.[3] Cornish, who was stabbed directly through the left fifth costal cartilage,[3] had been admitted the previous night and Williams made the decision to operate the next morning in response to continued bleeding, cough and "pronounced" symptoms of shock.[3] He performed this surgery, without the benefit of penicillin or blood transfusion, at Provident Hospital, Chicago,[11] though it would not be reported until 1897.[3] About fifty-five days later, James Cornish had successfully recovered from the surgery.[7] In 1893, during the administration of President Grover Cleveland, Williams was appointed surgeon-in-chief of Freedman's Hospital in Washington, D.C., a post he held until 1898 when he married and moved to Chicago. In addition to organizing the hospital, Williams also established a training school for African-American nurses at the facility.
Williams was a teacher of Clinical Surgery at Meharry Medical College in Nashville, Tennessee and was an attending surgeon at Cook County Hospital in Chicago. He worked to create more hospitals with accessibility to African Americans. In 1895 he co-founded the National Medical Association for African American doctors, and in 1913 he became a charter member and the only African American doctor in the American College of Surgeons.

Personal life[edit]

Daniel Hale Williams was born and raised in the city of Hollidaysburg, Pennsylvania. His father, Daniel Hale Williams, Jr. was the son of a black barber and a Scots-Irish woman.[12]
He lived with his father who was a "free negro" barber, his mother, his brother and five sisters and was the fifth child of the family. His family eventually moved to Annapolis, Maryland. Shortly after when Williams was nine, his father died of tuberculosis.[13] Williams' mother realized she could not manage the entire family and sent some of the children to live with relatives. Williams was apprenticed to a shoemaker in Baltimore, Maryland but ran away to join his mother who had moved to Rockford, Illinois. He later moved to Edgerton, Wisconsin, where he joined his sister and opened his own barber shop. After moving to nearby Janesville, Wisconsin, Williams became fascinated with a local physician and decided to follow his path. He began working as an apprentice to Dr. Henry W. Palmer for two years and in 1880 entered Chicago Medical College, now known as Northwestern University Medical School. After graduation from Northwestern in 1883, he opened his own medical office in Chicago, Illinois.[14]
Williams was married in 1898 to Alice Johnson, daughter of sculptor Moses Jacob Ezekiel and a maid of mixed ancestry.[15] Williams died of a stroke in Idlewild, Michigan on August 4, 1931. His wife, Alice Johnson, had died in 1924.[7]

Legacy[edit]

In the mid-1890s, attempts were made to improve cardiac surgery. The first successful surgery on the heart itself was performed by Norwegian surgeon Axel Cappelen on September 4, 1895 at Rikshospitalet in Kristiania, now Oslo.[16][17] The first successful surgery of the heart, performed without any complications, was by Dr. Ludwig Rehn of FrankfurtGermany, who repaired a stab wound to the right ventricle on September 7, 1896.[18][19] Despite these improvements, heart-related surgery would not be widely accepted in the field of medical science until World War II broke out and forced surgeons to improve their methods of surgery in order to repair severe war wounds.[20] In spite of the early lack of recognition they received for their surgeries, Dalton and Williams would later receive recognition for their roles in pioneering cardiac surgery.[20]
The Stevie Wonder song "Black Man" honors the achievements of Williams, among others.
Tim Reid Plays Dr. Williams in Sister, Sister (TV series) season 5 episode 18 "I Have a Dream" (February 25, 1998)
In 2002, scholar Molefi Kete Asante listed Daniel Hale Williams on his list of 100 Greatest African Americans.[21]
He received honorary degrees from Howard and Wilberforce Universities, was named a charter member of the American College of Surgeons and was a member of the Chicago Surgical Society.
Pennsylvania State Historical Marker was placed at U.S. Route 22 eastbound (Blair St., 300 block), Hollidaysburg, Pennsylvania commemorating his accomplishments and marking his boyhood home.[22]


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Daniel Hale Williams (January 18, 1856 – August 4, 1931) was an African-American general surgeon who, in 1893, performed the second documented successful pericardium surgery to repair a wound.  He also founded Provident Hospital,the first non-segregated hospital in the United States.

The son of a barber, Daniel Hale Williams was born in 1858 in Hollidaysburg, Pennsylvania, the fifth of seven children. After his father died, his mother, Sara Price Williams, moved the family several times. Young Daniel started as a shoemaker, but quickly knew he wanted more education. He completed secondary school in Wisconsin. At age 20, Williams became an apprentice to a former surgeon general for Wisconsin. Williams studied medicine at Chicago Medical College.

After his internship, he went into private practice in an integrated neighborhood on Chicago's south side. He soon began teaching anatomy at Chicago Medical College and served as surgeon to the City Railway Company. In 1889, the governor of Illinois appointed him to the state's board of health.

Determined that Chicago should have a hospital where both African American and European American doctors could study and where African American nurses could receive training, Williams rallied for a hospital open to all races. After months of hard work, he opened Provident Hospital and Training School for Nurses on May 4, 1891, the country's first interracial hospital and nursing school.

One hot summer night in 1893, a young Chicagoan named James Cornish was stabbed in the chest and rushed to Provident. When Cornish started to go into shock, Williams suspected a deeper wound near the heart. He asked six doctors (four European American, two African American) to observe while he operated. In a cramped operating room with crude anesthesia, Williams inspected the wound between two ribs, exposing the breastbone. He cut the rib cartilage and created a small trapdoor to the heart.

Underneath, he found a damaged left internal mammary artery and sutured it. Then, inspecting the pericardium (the sac around the heart) he saw that the knife had left a gash near the right coronary artery. With the heart beating and transfusion impossible, Williams rinsed the wound with salt solution, held the edges of the palpitating wound with forceps, and sewed them together. Just 51 days after his apparently lethal wound, James Cornish walked out of the hospital. He lived for over 20 years after the surgery. The landmark operation was hailed in the press.

In 1894, Dr. Williams became chief surgeon of Freedmen's Hospital in Washington, D.C., the most prestigious medical post available to African Americans then. There, he made improvements that reduced the hospital's mortality rate. In 1895, he helped to organize the National Medical Association for African American professionals, who were barred from the American Medical Association. Williams returned to Chicago, and continued as a surgeon. In 1913, he became the first African American to be inducted into the American College of Surgeons.

As a sign of the esteem of the African American medical community, until this day, a "code blue" at the Howard University Hospital emergency room is called a "Dr. Dan." In words that could later be said of Vivien Thomas, a colleague wrote, "His greatest pride was that directly or indirectly, he had a hand in the making of most of the outstanding Negro surgeons of the current generation."

Dr. Williams died in 1931. The Daniel Hale Williams Medical Reading Club in Washington, D.C., commemorates his achievements.

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Daniel Hale Williams,  (born Jan. 18, 1858, Hollidaysburg, Pa.—died Aug. 4, 1931, Idlewild, Mich.), American physician and founder of Provident Hospital in Chicago, credited with the first successful heart surgery.
Williams graduated from Chicago Medical College in 1883. He served as surgeon for the South Side Dispensary (1884–92) and physician for the Protestant Orphan Asylum (1884–93). In response to the lack of opportunity for blacks in the medical professions, he founded (1891) the nation’s first interracial hospital, Provident, to provide training for black interns and the first school for black nurses in the United States. He was a surgeon at Provident (1892–93, 1898–1912) and surgeon in chief of Freedmen’s Hospital, Washington, D.C. (1894–98), where he established another school for black nurses.
It was at Provident Hospital that Williams performed daring heart surgery on July 10, 1893. Although contemporary medical opinion disapproved of surgical treatment of heart wounds, Williams opened the patient’s thoracic cavity without aid of blood transfusions or modern anesthetics and antibiotics. During the surgery he examined the heart, sutured a wound of the pericardium (the sac surrounding the heart), and closed the chest. The patient lived at least 20 years following the surgery. Williams’ procedure is cited as the first recorded repair of the pericardium; some sources, however, cite a similar operation performed by H.C. Dalton of St. Louis in 1891.
Williams later served on the staffs of Cook County Hospital (1903–09) and St. Luke’s Hospital (1912–31), both in Chicago. From 1899 he was professor of clinical surgery at Meharry Medical College inNashville, Tenn., and was a member of the Illinois State Board of Health (1889–91). He published several articles on surgery in medical journals. Williams became the only black charter member of the American College of Surgeons in 1913.
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Daniel Hale Williams,  (b. January 18, 1858, Hollidaysburg, Pennsylvania — d. August 4, 1931, Idlewild, Michigan), American physician and founder of Provident Hospital in Chicago, credited with the first successful heart surgery.

Williams graduated from Chicago Medical College in 1883. He served as surgeon for the South Side Dispensary (1884–92) and physician for the Protestant Orphan Asylum (1884–93). In response to the lack of opportunity for African Americans in the medical professions, he founded (in 1891) the nation’s first interracial hospital, Provident, to provide training for black interns and the first school for black nurses in the United States. He was a surgeon at Provident (1892–93, 1898–1912) and
surgeon in chief of Freedmen's Hospital. Washington, D. C. (1894-98), where he established another school for African American nurses.

It was at Provident Hospital that Williams performed daring heart surgery on July 10, 1893. Although contemporary medical opinion disapproved of surgical treatment of heart wounds, Williams opened the patient’s thoracic cavity without aid of blood transfusions or modern anesthetics and antibiotics. During the surgery he examined the heart, sutured a wound of the pericardium (the sac surrounding the heart), and closed the chest. The patient lived at least 20 years following the surgery. Williams’ procedure is cited as the first recorded repair of the pericardium; some sources, however, cite a similar operation performed by H.C. Dalton of St. Louis in 1891.

Williams later served on the staffs of Cook County Hospital (1903–09) and St. Luke’s Hospital (1912–31), both in Chicago. From 1899 he was professor of clinical surgery at Meharry Medical College in Nashville, Tennessee, and was a member of the Illinois State Board of Health (1889–91). He published several articles on surgery in medical journals. Williams became the only African American charter member of the American College of Surgeons in 1913.

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