Cushing Center, Yale Medical Library
Yale's fascinating "brain room" showcases the collection of Harvey Cushing, the "father of neurosurgery." Over the course of his career, he compiled what is now known as the Cushing Brain Tumor registry: 2200+ medical case studies consisting of notes, microscopic slides, tumor specimens, photo negatives, and even entire brains. These materials span several decades, from the late 19th century up to the 1930s, documenting a time of considerable change and advancement in neurological medicine. Today, these brain specimens and other materials reside in the Cushing/Whitney Medical Library. An active Yale Proximity ID Card is required to visit on your own. Visitors without one should register at the Medical Library’s Circulation Desk to receive a Cushing Center Proxy Card. Before traveling to visit the Center, you may want to call ahead to confirm its availability.
Backstory and Context
Cushing gained a reputation for dramatically raising his patients' survival rates, due in large part to his sterile operating procedures, which lessened the risk of infection. While other neurosurgeons of his day had surgery mortality rates between 38 and 50%, Cushing's hovered around 8%.
He also promoted safer methods of anesthetization. Today, it seems only natural to monitor the vital signs of a patient under anesthetic, but in Cushing's time, it was groundbreaking. By recording the patient's pulse, respiration, and temperature in his "ether charts," he made surgical anesthetization a more precise, controlled procedure. Cushing also supported the use of local anesthesia when possible, rather than run the higher risks of general anesthesia. His insistence on safer anesthesia was rooted in personal observation and experience. He was well-aware early in his medical training that "etherized" patients sometimes did not wake up. In a letter from 1920, Cushing discussed an experience administering ether during his second year of medical school. The elderly patient died. In Cushing's words:
I supposed that I had killed the patient. The operation was completed in spite of the episode, as a demonstration to the class. I slunk out of the hospital, walked the streets of North Boston the rest of the afternoon, and in the evening went to the surgeon’s house to ask if there was any possible way I could atone for the calamity to the man’s family before I left the Medical School and went into some other business.
(quoted in Hirsch and Smith).
"Harvey Cushing and the Cushing Center." Yale University. Accessed May 22, 2017. http://library.medicine.yale.edu/cc/history.
Hirsch, Nicholas, and Gary Smith. "Harvey Cushing: His Contribution to Anesthesia." Anesthesia & Analgesia 65, (1986): 288-293.
"A Neurosurgeon’s Photographic Legacy." Yale Medicine 42 (Spring 2008). Accessed May 26, 2017. http://ymm.yale.edu/spring2008/features/feature/51545/.