Photographs of Early Ether Anesthesia in Boston
2010; Lippincott Williams & Wilkins; Volume: 113; Issue: 1 Linguagem: Inglês
10.1097/aln.0b013e3181de6f41
ISSN1528-1175
Autores Tópico(s)Historical and Scientific Studies
ResumoPUBLICATIONS on the history of anesthesia may have an image of a photograph, engraving, or painting of early ether anesthesia in Boston, Massachusetts. Closer inspection of the photographs in various publications reveals that there are five known photographs that were taken in the original amphitheater (now called the Ether Dome) at Massachusetts General Hospital (MGH). Four photographs (figs. 1–4) were reproduced in a book on the daguerreotypes of Southworth and Hawes.1No publication on the history of anesthesiology has reproduced more than three of the five known photographs. Richard J. Wolfe's book on Robert C. Hinckley (1853–1941) and his well-known painting of the first demonstration of ether at MGH contains three of the photographs (figs. 2, 3, and 5) taken at MGH.2Wolfe's later book on William T. G. Morton, M.D. (1819–1868), contains a different set of three photographs (figs. 1–3).3The five photographs, all believed to have been taken by Southworth and Hawes, have not been published together in any previous publication in the field of anesthesiology or photography.Albert Sands Southworth (1811–1894) and Josiah Johnson Hawes (1808–1901) were partners in a photographic studio in Boston, Massachusetts, that specialized in the production of daguerreotypes, an early type of photograph. They photographed surgery on several occasions at MGH. They also produced portraits of individuals associated with early ether anesthesia in Boston. Their photographs are unique records of the momentous events in Boston in relation to the administration of ether by inhalation.Four of the five photographs were probably taken in April 1847, nearly 6 months after Morton's first demonstration of ether anesthesia at MGH. Ether was by then being used elsewhere in the United States and in Europe. However, there are no earlier known photographs of ether anesthesia. Therefore, the photographs of Southworth and Hawes are the earliest known photographs of ether anesthesia and among the earliest known medically related photographs.This article will discuss the history and technique of the daguerreotype, the partnership of Albert Southworth and Josiah Hawes, and all five known photographs taken by Southworth & Hawes in the Ether Dome at MGH. The five photographs are published together for the first time. Their incorrect descriptions in previous publications are also documented. Many of the published interpretations were by photo-historians who may not have been familiar with the history of ether anesthesia or the physicians involved in early ether anesthesia.The daguerreotype was the first commercially successful photographic process. It was described before the French Academy of Sciences in Paris in 1839 and named after Louis-Jacques-Mandé Daguerre (1787–1851). Daguerre was also a painter and the inventor of the Diorama (a theatrical show using painted landscapes).Joseph Nicéphore Niépce (1765–1833), Daguerre's partner from 1829, also deserves some credit for the development of the daguerreotype. Niépce had tried for many years to produce permanent images by photochemical means. His early attempts resulted in images that soon faded. Niépce's 1825 photograph of an engraving is regarded as the world's oldest known photograph. In 1826, Niépce produced the earliest known permanent image from nature. The photograph, a view from an upstairs window of his country home, Gras , in Saint-Loup-de-Varennes, was produced on a pewter plate coated with bitumen of Judea (a tar-like material that hardens on exposure to light) and exposed in a camera obscura*for approximately 8 h.†The daguerreotype is a direct positive image on a metal plate; there is no accompanying negative. A silver-coated copper plate is polished and then made sensitive to light by exposure to iodine vapor. The plate is exposed to light in a camera obscura and then developed by exposure to mercury vapor. The image is fixed by washing it with a solution of sodium thiosulfate (also known as hyposulphite of soda) and toned with a solution of gold chloride. The first daguerreotypes were exposed to light for up to 60 min. Two- to 3-min exposures were routinely used within the first year of its introduction. Exposure times of less than 5 s became possible when it was discovered that bromine and chlorine increased the photographic speed of the plate. The image on the copper plate is horizontally (or laterally) reversed (i.e. , the image is reversed left-to-right) unless a prism or mirror is used. The plates were sometimes colorized or tinted by hand. The plates were usually mounted in decorative frames or cases with the surface protected by glass.The patent for the process was acquired by the French government and declared “free to the world.” In contrast, William Henry Fox Talbot's (1800–1877) technique of paper negatives and paper prints (the calotype or talbotype), which was invented at roughly the same time as the daguerreotype, was patented and had significant start-up costs. The disadvantages of the daguerreotype were the labor intensive process, the lack of negatives, and the delicate nature of the image. Daguerreotypes were popular in the United States during the 1840s. They became less popular in the 1850s as other techniques of photography were introduced.Oliver Wendell Holmes, M.D. (1809–1894), the acclaimed physician, poet, and author, who suggested the term “anaesthesia” for the state of insensibility produced by ether, called the daguerreotype a “mirror with a memory.”4Albert Sands Southworth (1811–1894) was born in West Fairlee, Vermont. He established himself as a “druggist” in Cabotville (now Chicopee), Massachusetts. Joseph Pennell (1812–1868), a school- and roommate of Southworth, invited him to New York to learn the technique of producing daguerreotypes under Samuel F. B. Morse (1791–1872). Morse had been in Paris in 1839 to promote his invention of the telegraph. While there, Morse had learnt the technique of daguerreotypes from Daguerre himself.Southworth and Pennell set up their first studio in Cabotville in 1840. In 1841, Southworth moved to Boston, Massachusetts. The studio of A. S. Southworth and Co. was located in the top floor of the Scollay Building at 60½ Court Street, Boston, Massachusetts. From 1842, the studio was listed as being at 5½ Tremont Row. Pennell left in 1843, and from 1844, the business was listed as “Southworth & Hawes.”Josiah Johnson Hawes (1808–1901) was born in East Sudbury (now Wayland), Massachusetts. He gave up work as an apprentice carpenter and became a self-taught portrait painter. He learned about producing daguerreotypes from Francis Fauvel-Gouraud (also known as François Gouraud) (d. 1847), who lectured and demonstrated the technique in Boston in 1840. Hawes was initially in business on his own. He became a partner of Southworth in 1843. In 1849, Hawes married Nancy Niles Southworth (1820–1895), the sister of Albert Southworth. Southworth and Hawes were partners in the firm Southworth & Hawes for 19 yr (1843–1862). It is not clear why the partnership ended—it may have ended because of the decline of the daguerreotype. Southworth remained in the field of photography (there are no known examples of his postdaguerreian work) and was later involved in the use of photography in handwriting analysis.1Hawes continued working in the photographic studio in Tremont Row until his death in 1901. Late in his life, he was said to be the world's oldest living professional photographer.5From 1857, the listed address of Southworth and Hawes was 19 Tremont Row. The change in address occurred because the properties in Tremont Row had been renumbered. Coincidentally, this new address was the same as the old address of William T. G. Morton. This has led several historians to incorrectly state that the studio of Southworth & Hawes was above Morton's dental rooms.1,3,6The Wikipedia Web page on Southworth & Hawes also states that the studio of Southworth & Hawes was above Morton's rooms.‡David Kruh stated in his book on the history of Scollay Square that Morton and Wells' rooms were at 19 Tremont Row above the studio of Southworth & Hawes.7The renumbering of Tremont Row took place in 1857. Morton's rooms had by then been closed. The Southworth & Hawes studio, which was at 5½ Tremont Row, was renumbered as 19 Tremont Row. The studio was at the junction of Tremont Row and Brattle Street and looked down Brattle Street. The road where Morton's rooms had been was now known as Tremont Street. Morton's rooms had been above the music store of George P. Reed and opposite the Boston Museum.3Southworth and Hawes were highly regarded for their technical and artistic skills and are now generally acknowledged to have been the most accomplished daguerreotypists in the United States. Their daguerreotypes are now in the collections of several major art museums. In 2005, Young America, a major exhibition of the daguerreotypes of Southworth and Hawes, was jointly curated by George Eastman House, Rochester, New York, and the International Center of Photography, New York, New York.§The accompanying book, Young America , has approximately 2,000 images of daguerreotypes produced by Southworth and Hawes and is the most comprehensive catalog of their work.1In 2002, the work of Southworth and Hawes was commemorated in a stamp issued by the United States Postal Service. The stamp was one of a set of 20 stamps (“Masters of American Photography”) on the 20 most influential American photographers.The catalog by Romer and Wallis of the daguerreotypes of Southworth and Hawes has 11 images known to be related to ether anesthesia at MGH.1Four images are of daguerreotypes produced in the Ether Dome (figs. 1–4). There are six portraits of three of the physicians associated with early ether anesthesia at MGH. The three physicians are Oliver Wendell Holmes, M.D., John Collins Warren, M.D. (Hersey Professor of Anatomy and Surgery, Harvard University, Cambridge, Massachusetts; 1778–1856), and Augustus Addison Gould, M.D. (1805–1866). The author has also identified Gould in two daguerreotypes that were classified as “unidentified” (no. 798, p. 355 and no. 1709, p. 448–9).1Solomon D. Townsend, M.D. (Surgeon, Boston, Massachusetts; 1793–1869), Jacob Bigelow, M.D. (Physician and Botanist, Boston, Massachusetts; 1786 or 1787–1879), and George Hayward, M.D. (Surgeon, Boston, Massachusetts; 1791–1863) can be seen in a group photograph (no. 1721, p. 451) of 12 Boston physicians.1Previously unknown images of ether anesthesia may still be discovered, because multiple images were usually taken with each commission. Southworth and Hawes also sold copy daguerreotypes (a new daguerreotype was made by photographing an original daguerreotype) and paper prints of daguerreotypes (a daguerreotype was photographed to produce a glass negative, which was then used to make paper prints). No copies of the daguerreotypes taken in the Ether Dome are known to exist.There are currently four known daguerreotypes that were produced by Southworth and Hawes in the Ether Dome at MGH (figs. 1–4).∥Three daguerreotypes belong to MGH Archives and Special Collections and have been on loan to the Fogg Museum, Harvard Art Museum, Cambridge, Massachusetts, since 1979 (figs. 1–3). One daguerreotype belongs to the J. Paul Getty Museum, Los Angeles, California (fig. 4). All four daguerreotypes are whole plates (approximately 16 × 21 cm in size). The daguerreotypes will be referred to as Ether Dome daguerreotypes to distinguish them from other daguerreotypes of patients at MGH.In addition, the Francis A. Countway Library of Medicine, Boston, Massachusetts, has a paper print of a daguerreotype plate that is not known to exist (fig. 5). This image was not reproduced in the Young America exhibition catalog.1The five images are all horizontally (or laterally) reversed. The right side of the image is the left side of the room, as observed from the seating area of the amphitheater. In Ether Dome daguerreotypes 2, 3, and 4 (figs. 2–4), John Collins Warren, M.D., appears to be standing on the left side of the patient. He is actually standing on the right side of the patient. In figure 5, the patient has been turned prone and John Collins Warren, M.D., is standing on the patient's left side. This is clearly demonstrated when figure 5is flipped horizontally (fig. 6). The statue of Apollo (the Apollo Belvedere or Pythian Apollo), part of which is seen in the upper right corner of the daguerreotypes (figs. 2–5), is actually on the left side of the amphitheater when observed by the audience. The different positions of the right and left lower limbs of the statue provide the best evidence for horizontal reversal of the images. A hand-written note (reproduced in a book by Wolfe2) that is attached to the print of Ether Dome daguerreotype no. 5, ends with the following statement: “The arrangement of the room is reversed in the photograph.” Wolfe also reproduced a photograph of the interior of the Ether Dome showing objects arranged to resemble the daguerreotypes.2However, the horizontal reversal of the images had been overlooked, and the objects were incorrectly placed. The photograph was taken in 1896 for the semicentennial commemoration of Morton's first demonstration of ether at MGH.It is not clear why the daguerreotypes were produced. They were not used to promote ether anesthesia because the earliest known publication of any of the daguerreotypes was 1897. Photography, like anesthesia, was in its infancy, the preparation of plates was time consuming, and the process required good lighting and stationary subjects. It was not easy to take quick pictures because the photographer had to be summoned to the hospital and had to have several plates already prepared. The daguerreotype was more suited to photography in a well-lit studio or an outdoor setting. Its potential to document events was not yet realized. The Ether Dome daguerreotypes do not record any unusual medical conditions or new types of operations. They may have been made as personal records. There is further discussion of the importance of the daguerreotypes in the sections on the individual daguerreotypes.Young America , the companion book to the exhibition of the same name, contains a chapter by Lowry and Lowry8on the esthetics, provenance, and publication history of the images produced in the Ether Dome. This chapter is the only known published account of all the Ether Dome daguerreotypes. The discussion of the production of the daguerreotypes is speculative and detracts from some useful information on the daguerreotypes.The author has identified 37 English language publications (books, journals, newsletters, and magazines) containing a total of 57 reproductions of the Ether Dome daguerreotypes. Books produced in multiple editions were counted only once. Twenty-three of the publications were photography related (35 reproductions), whereas 11 publications were on the history of medicine or dentistry (19 reproductions). There were three publications related to general history (three reproductions). More than 60% (23 of 37) of the publications contained errors in describing or dating the daguerreotypes (table 1).An attempt was made to identify the individuals in the daguerreotypes. The author found it easy to identify the two senior surgeons, John Collins Warren, M.D., and Solomon D. Townsend, M.D. Also easily identified were Augustus A. Gould, M.D., and two of the recently appointed staff surgeons, Jonathan Mason Warren, M.D. (1811–1867) and Samuel Parkman, M.D. (1816–1854). The author could not identify the junior doctors with certainty. The names assigned to the junior doctors by other authors are listed in the discussion of the individual daguerreotypes. A question mark is placed before some of the names as this author is not convinced of the accuracy of the names. The information provided in this article regarding the possible dates of the photographs and the patients' histories should be regarded with caution as they are based on conclusions by Lowry and Lowry8that could not be verified. The lack of contemporary documentation of the dates, patients' details, and the people present has resulted in many incorrect interpretations of the daguerreotypes.Hawes was said to have been invited to MGH on October 16, 1846, to record the momentous day when William T. G. Morton administered ether to Edward Gilbert Abbott (1825–1855) for an operation on the left side of his neck by John Collins Warren, M.D. The earliest account that the author has located is a report of the Ether Day commemoration at MGH on October 16, 1906.9It contains the following anecdote by Albert N. Blodgett, M.D. (1848–1923): “At the time of the first operation Mr. Hawes was invited to be present for the purpose of photographing the scene of the operation. He was, however, unfortunately, not accustomed to the sight of blood, became nauseated and was obliged to leave the amphitheater with the picture still untaken. At the conclusion of the operation, which had been entirely successful and had demonstrated the efficiency of ether, Dr. Warren sought out Mr. Hawes and presented him with the scalpel and probe used at the operation, together with his card.”9According to Viets,10“Josiah J. Hawes, a daguerreotypist, is thought to have been present, but the sight of blood so unnerved him, he was obliged to retire, thus missing the chance of a lifetime.” The Wikipedia Web page on Southworth and Hawes states that Hawes could not stand the sight of blood, and the historic moment was not recorded.‡Leroy Vandam, in his article on Robert C. Hinckley's painting, dismisses Hawes in one sentence: “However, the daguerreotypist, Josiah J. Haines [sic ], is said to have had a change of heart and failed to appear at the proceedings.”11There is a third possibility, unlikely in the author's opinion: that Hawes took photographs at MGH on October 16, 1846, that are not known to have survived. Photographs of the operation on Abbott would be highly treasured and very valuable to the photographer. In 1857, Southworth and Hawes copyrighted a photograph of Rufus Choate (1799–1859), a lawyer, politician, and orator.1They would probably also have copyrighted any existing photograph(s) of the operation on Abbott. Copies of the photograph(s) would have been sought by the individuals who had been present at the operation. Furthermore, there was no mention of any original photograph(s), either existing or lost, in the published correspondence of three physicians who wrote individually to Hinckley in 1883.2The three physicians, Henry Jacob Bigelow, M.D. (1818–1890), Charles Frederick Heywood, M.D. (1823–1893), and Charles Hosea Hildreth, M.D. (1825–1884), were present at the operation on Abbott. Two of the three letters to Hinckley discuss the likenesses of people in Hinckley's painting, but they do not refer Hinckley to any photographs of the event.2Hawes was interviewed in 1897 for a newspaper article (“A Famous Boston Studio,”Boston Weekly Transcript, July 30, 1897, p. 3). According to the reporter, “He shows the picture he made of the first operation of ether ever given at the Massachusetts General Hospital, and also of the well-known doctors who represented the Harvard Medical School long ago.” It is not known which photograph was shown to the reporter.In the author's opinion, the available information is not reliable enough to determine whether Hawes was invited but failed to appear at MGH, or if he attended the demonstration on October 16, 1846, but was unable to photograph the event. The only known photograph that has some resemblance to the operation on Edward Gilbert Abbott is a reenactment (fig. 1).It is also not clear when John Collins Warren, M.D., presented his scalpel, probe, and calling card to Hawes. Warren, who was immediately aware of the historic nature of the October 16 demonstration of etherization, would be expected to have kept the scalpel and probe for his personal collection (soon to become the Warren Anatomical Museum). The Ether Day account from 1906 states that Warren presented the instruments after the first demonstration of ether at MGH.9Edward N. Bates, M.D. (b. 1867), in correspondence to Albert N. Blodgett, M.D. (dated May 8, 1906, in possession of the Boston Medical Library), states that he received the scalpel, probe, and calling card from Hawes. No earlier reference to these instruments has been found. The scalpel, probe, and calling card were then acquired by E. R. Squibb and Sons (now Bristol-Myers Squibb Company, New York, New York) and placed on permanent loan to the Boston Medical Library (now part of the Francis A. Countway Library of Medicine) in 1908 (Jack Eckert, Public Services Librarian, Francis A. Countway Library of Medicine, written communication, September 5, 2009).Ether Dome daguerreotype no. 1 (fig. 1) is owned by MGH and is on loan to the Fogg Museum (Object no. 3.1979). It is now attributed to Southworth & Hawes. However, in 1979, it was incorrectly cataloged by the Fogg Museum as the work of St. Clair (and was called the St. Clair daguerreotype).8#The error occurred because the handwritten inscription on the verso of the daguerreotype states that it was “Photographed by Mr. St. Clair 3/28/47.” Richard St. Clair, a photographer at MGH, took photographs of the daguerreotype on March 28, 1947.8The daguerreotype shows the reenactment of the first administration of ether at MGH on October 16, 1846. The date of the reenactment is not known. It has been stated to have been “within a few days of October 16, 1846,”12“in December 1846,”8or in “late March or early April 1847.”3No supporting evidence was provided for any of the three widely different dates. The author has reviewed documents that belonged to Southworth and Hawes (Southworth & Hawes Manuscript Collection, Richard and Ronay Menschel Library, George Eastman House, Rochester, New York) and John Collins Warren, M.D. (John Collins Warren Papers, Ms N-1731, Massachusetts Historical Society, Boston, Massachusetts), and found no indication of the dates when the Southworth & Hawes daguerreotypes might have been made in the Ether Dome.The patient in the photograph looks healthier than would be expected from known descriptions of Edward Gilbert Abbott. The MGH records of Abbott state that he was “tall and slim … has always been weak and sickly.”13The name of the person representing Abbott is not known.There are 10 people standing around a seated patient. They are listed below in order from left to right.The earliest known publication of this image is in an article by Norris15on the Whitridge brothers. The three Ether Dome daguerreotypes held by the Fogg Museum (figs. 1–3) were reproduced, and all three were described as “reenactments.”15According to Norris, Joshua Barker Whitridge, M.D. (1789–1865) observed the administration of ether at MGH in 1846, but there was no evidence that he was in any of the three “reenactments.”15This daguerreotype was then published in books by Lowry and Lowry,16Banta,17Wolfe,3and in the Young America catalog.1It is not clear why the reenactment daguerreotype (fig. 1) was made. It has obvious historical relevance in portraying the first public demonstration of ether anesthesia. However, its date of production is unknown, and no copies of the daguerreotype, or paper prints of it, are known to exist. It does not seem to have been used to promote ether anesthesia given that its earliest known publication was in 1997.15The identity of the person holding the ether inhaler is not known, and the surgeon, John Collins Warren, M.D., is absent.Ether Dome daguerreotype no. 2 (fig. 2) is owned by MGH and is on loan to the Fogg Museum (Object no. 2.1979). Lowry and Lowry called this daguerreotype the “young seamstress daguerreotype” and stated that it recorded the first occasion (April 3, 1847) when a sponge was used at MGH to administer ether.8It is not clear how they came to these conclusions. If the date provided by Lowry and Lowry is correct, the case history obtained from MGH can be linked to the patient in the daguerreotype.The MGH surgical records of April 3, 1847, contain the earliest recorded use of the sponge at MGH. However, earlier uses of the sponge at MGH may not have been documented. The author found a brief diary entry by John Collins Warren, M.D., for March 30, 1847, that states “Public visit to the Hospital. Administered Ether on a Sponge—without apparatus” (diary in Massachusetts Historical Society, Boston, Massachusetts). No other details are provided in the diary. It should also be noted that the first reported use of the sponge in the United States was at an unknown location in Boston, Massachusetts, in March 1847.14,18,19Independently, in England, the first reported use of the sponge was in February 1847.20,21This daguerreotype does not document the first ever use of the sponge, but documents an early use of the sponge at MGH.The following information was received by the author from Jeffrey Mifflin, Archivist and Curator, MGH (written communication, May 29, 2009). A 25-yr-old woman (name withheld) was operated on by John Collins Warren, M.D., on April 3, 1847. She had been admitted to MGH on November 2, 1846. She suffered from a 2-yr-old injury (puncture wound by scissors on her thigh 3 or 4 inches above the knee) that occurred in the course of her work as a dressmaker. Her symptoms were “contraction of extensors of toes and stiffness of knee and ankle joints.” She “inhaled ether from a sponge” and the nature of the operation was identified as “actual cautery.”There are 10 people standing in the Ether Dome around a female patient (fig. 2). They are from left to right:A photogravure of this daguerreotype was first published in 1897 as a frontispiece in an account of the Presidential address by John Collins Warren, Jr., M.D. (1842–1927), at a meeting of the American Surgical Association.19John Collins Warren, Jr., the son of Jonathan Mason Warren, M.D., and grandson of the elder John Collins Warren, M.D., stated that the daguerreotype belonged to the Warren family from the time it was taken.19The image was also published in 1906, together with additional illustrations, in a book that recorded the Presidential address.22Other publications that used the photogravure were the 1907 Annual Report of MGH, Duncum,21Burns,25Buckland,26and Wolfe.2,3According to Lowry and Lowry,8a photographic image of the daguerreotype was first published by Barger and White24in 1991. Barger and White described the daguerreotype as a “reenactment of one of the first surgical operations performed using ether anesthesia” and stated that the person in the “fancy waistcoat” was Morton.24An image of this daguerreotype was also reproduced by Norris,15Banta,17and in the Young America catalog.1Ether Dome daguerreotype no. 3 (fig. 3) is owned by MGH and is on loan to the Fogg Museum (Object no. 1.1979). The backing board of the daguerreotype has a label stating that it was loaned (presumably to MGH) in 1942 by Joseph Warren. Joseph Warren (1876–1942) was a Professor of Law at the Harvard Law School and the son of John Collins Warren, Jr.Ether Dome daguerreotypes no. 3 (fig. 3) and no. 4 (fig. 4) were said to have commemorated one of the last Anatomy lectures by John Collins Warren and were called the “Anatomy Lesson Daguerreotypes.”8The Getty Museum's Web page states that it was Warren's last anatomy lecture.**Mifflin called it Warren's last lecture in Surgery.27(The legend in Mifflin's article refers to the MGH's daguerreotype; however, an image of the Getty Museum's daguerreotype has been reproduced.) However, according to Edward Warren28and a report in the Boston Medical and Surgical Journal ,29John Collins Warren, M.D., gave his last lecture to the medical class on March 2, 1847. John Collins Warren, M.D., discusses his last lecture in his diary entry for March 2, 1847, and does not mention any lecture in his diary entry for April 24, 1847 (diary in Massachusetts Historical Society, Boston, Massachusetts).This daguerreotype has not been dated previously. The use of the sponge to administer ether indicates that this daguerreotype could not have been made before the end of March or early April 1847. According to Lowry and Lowry, Solomon D. Townsend, M.D., had just finished washing his hands when Ether Dome daguerreotype no. 5 (fig. 5) was taken.8If it is accepted that Townsend performed the procedure, the likely date of the series of three photographs (fig. 3–5) is April 24, 1847 (see patient details in the next paragraph). This was the date of Townsend's only operation at MGH in the spring of 1847. However, in figure 5, the dressing has been applied to the patient's left leg (it should be remembered that the daguerreotype images are horizontally reversed), whereas the patient's history describes disease of the right tibia. This discrepancy cannot be resolved at present—it may be resolved by a study of all the surgical records of MGH for that period.The following information was received by the author from Jeffrey Mifflin, Archivist and Curator, MGH (written communication, May 29, 2009). Solomon D. Townsend, M.D., performed only one operation at MGH in the spring of 1847. The operation was performed on April 24, 1847. A 21-yr-old male patient (name withheld) suffered from necrosis of the right tibia. The duration of the operation was 50 min. He was “rendered insensible by ether.” The ether was probably administered with the conical sponge.There are 10 people standing in the Ether Dome in daguerreotype no. 3 (fig. 3). There is an inner group of eight people (listed as number 1 to 8, from left to right) standing around the patient. The two persons (number 9 and 10) in the background may be attendants.The earliest known publication of an image of this daguerreotype (fig. 3) is 1980.31It was incorrectly referred to as the “Third Operat
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