Showing posts with label lutheran hospital. Show all posts
Showing posts with label lutheran hospital. Show all posts

Saturday, March 7, 2015

Wartime Harlem got its "Double V" victory --- sort of

WWII's famous "Double V" campaign --- a military victory over Axis evil abroad and a moral victory in truly welcoming human diversity at home -- was led mainly by black Americans - many of them from Harlem.

Most black Americans back then (and most historians today) think the campaign basically failed.

But the story on the ground in Harlem itself, a story told from the point of view of the Nash Building and the Lutheran Hospital, suggests a different and more ambiguously hopeful story.

What capped the overseas military victory, in most peoples' eyes, was the autarky-oriented American-only atomic bomb dropped over Japan, based on gaseous diffusion technology developed at Harlem's Nash building.

(A technology that produced most of the world's cold war nuclear weapons that still threatens our world.)

Despite this effort being set in Harlem, only one black American, scientist James Forde, worked in that building, helping perfect the Bomb's technology.

 This was a clear sign of the wartime Allies' failure to practise at home the kind of acceptance of human diversity that they preached in their overseas propaganda.

But a few hundred metres away from the Nash, at Harlem's old Lutheran Hospital, a happier story was being played out.

For just days after the July 1943 Harlem Riots revealed to the world the Allies' racial divide, a young crippled Italian-American surgical resident broke all the rules to try and save the life of a dying baby named Patty Malone.

After twelve shamefully silent years, the good news story of potent life-saving powers of penicillin finally broke wide, virtually overnight: broke Stateside and Worldwide.

That young doctor, Dante Colitti, was inspired by the example of another crippled (in fact dying) doctor from his own neighbourhood -- Nova Scotia born and raised Martin Henry Dawson.

Dr Dawson worked at the world famous Columbia Presbyterian Medical Centre, just a little further up the hill from the Lutheran Hospital.

Since September 1940 he had been growing his own hospital-brewed penicillin, to try save young patients with invariably fatal SBE - patients that the wartime Allies sentenced to death by not-so-benign neglect, because they deemed them not of military or economic significance.

SBE was also a disease that disproportionally hit minorities and immigrants the hardest - 'The Polio of the Poor'.

(These two facts are not coincidental .)

Dawson had given the world's first injections of penicillin, ushering in our present Age of Antibiotics, to a black from Harlem and to a Jew from the Bronx.

This too was not coincidental .

It was Dawson's way of protesting  the medical elite's determination to use the claim of war necessity as an excuse to ignore the illnesses of the poor, not to heal them.

He wanted to save these SBE patients for their own sakes --- but also to put teeth into the Allies' claim that they were committed to the welfare of all humanity unlike the uncaring Axis.

It was Dawson's way of seeing that the victory over the Axis abroad was hastened by - and matched by - a moral victory over hatred at home.

Dawson won his fight - Allied attempts to patent penicillin and limit its wartime use to only those they deemed worthy to receive it failed.

Thanks to Dawson and Colitti, wartime penicillin was mass produced in Brooklyn and send worldwide, in a Christ-like spirit of 'open commensality', to try and save all those dying for lack of it - whether white or dark, rich or poor, friend or enemy.

I believe that it is past due time that Harlem re-examined its significant role in 1945's ambiguous "Double V" victories.

Because the mixed lessons those twin victories sent out to postwar kids everywhere still shapes our now boomer-led world, as it faces another global crisis in the SIXTH EXTINCTION ...

Wednesday, December 31, 2014

"Janus Manhattan" : home to both wartime's synthetic plutonium death-dealing and to natural penicillin lifesaving

Why write fictions about Manhattan --- when its real life is so much more exciting than anything Hollywood screenwriters could ever dream up ?

What cautious Hollywood studio boss is ever going to greenlight a fictional script that sets up the Nash Garage Building at Manhattan's 133rd Street and 3280 Broadway as the wartime home of the death-delivering technology that produced almost all of the world's nuclear weapons and the Lutheran Hospital at Manhattan's 144th Street and 343 Covent Ave as the birthplace of the push for providing lifesaving penicillin for all ?

Janus Manhattan : home to both Gordon Gekko and Emily Lazarus


It all seems to be too neat and too cosy a location for such a monumental clash of human values : to set this cosmic clash in two small buildings half a mile from each other, two buildings that are within sight of each other from their top floors.

But it actually happened that way - the same tiny space , the same brief moment in time : the Summer of 1943 : working to producing endless Little Boy death bombs versus working to save the life of one little baby girl named Patty Malone.

I suppose - pace Tom Wolfe the younger -Manhattan fiction allows an author to gild the lilly.

 But first you must start with really beautiful lillies.

And non-fictional Manhattan has them in buckets ...

Tuesday, August 6, 2013

Penicillin Baby Patricia Malone survives !


In earlier posts I had mentioned that "The Penicillin Baby", little two year old Patty Malone, whose fight against a fatal staph disease had gripped all of North America for six weeks between August 12th and September 22nd 1943, had finally died of her disease in mid September 1943.

But perhaps it isn't true.
This "claim" was based on a secondary report on her story, in an official history of the Pulitzer Prize, and from what I could find ( and not find) in newspapers from that time that are on Google when I looked.

(The newspaper and editor who had got the life-saving penicillin for her from a heartless American government had won a Pulitzer for their efforts.)

I usually search about every two months as new newspapers get digitalized and get put on the Net, while other newspapers disappear off the Net.

Today I found two stories - from tiny obscure rural newspapers  (actually a good sign - meaning it was wire copy and available to all) with a photo, both from AP.

They showed that Patty was released, fit and well, to her parents Lawrence J and Katherine M Malone on September 22nd after a six week stay at Lutheran hospital in New York.

I say fit and well because the text says so and the image of little Patricia in her cute new bonnet proves it - we also have earlier photos when she was very near death to show the distinct difference.

Emboldened by all this --- and the fact that I now had the mother's middle initial ---- I went back to the 1940 federal census in America to look real hard.

Ironically, I finally had to put less in , rather than more, and I found in 1940 a Lawrence and Katherine Malone at their exact 1943 address (apartment 1c) (83 -11 34th Avenue in Jackson Heights, Flushing, Queens, New York), the one mentioned  in many newspaper stories of the time.

(This mania for disclosing exact full names and exact full addresses was a style of many newspapers back then.)

Age and occupation matched their appearance in the 1943 photos.

(The census showed he had a few years of college, was an insurance adjuster and made a good salary of $3200 in 1940.)

They had a daughter, Jean, born in 1937. Katherine (M) Malone, the stay-at-home mother was the informant, so this had to be accurate - besides the handwritten information of the census taker was extremely neat and readable.

But a telephone number database showed a John M Malone, born about 1939 , living at the 1943 Malone address fairly recently.

If Lawrence's middle name was John, statistically more than moderately likely, then he might well name a son John.

His same telephone number was earlier held by Lawrence J Malone and Katherine M Malone living at that same address !

I tried a search in the US Social Security death registry ( a list of all people who worked for pay and so paid into the system and were alive and working after 1960, when the data started getting put into a computer database.)

I did find a Katherine M Malone whose birth ( March 27 1913)  matched the 1940 census information - she died in March 1994 in Jackson Heights.

Lawrence J Malone was born in New York 1910 and was also raised in New York , as was his wife. But the names and dates on record for New York were all for men born much later than that.

So perhaps he died before 1960.

Patricia Malone was born in 1941 (as she was two in late 1943) so if she lived to adulthood and never married she might be a Patricia A Malone, born April 14 1941, who died September 2 2009 in Brooklyn.

A search for a John M Malone on the death index found nothing - he might well still be alive, as could Jean and Patricia - the average birth date of many Americans dying today is some time in the 1920s, not in the late 1930s and early 1940s.

I will push on and search harder, but for now a nice photo of the bonneted baby Patricia, September 22nd 1943, obtained from a small town rural weekly in Texas.

Yes, a New York story, published even in the tiny town of Mexia Texas.

Because this was a Good News Story that every parent and grandparent in North America kept a moist eye on, particularly at the height of all the death and destruction of the Bad News War....


Tuesday, February 12, 2013

Patient ONE of the Antibiotics Era : how the saving of Charlie Aronson changed our world

During his lifetime, Dr Henry Dawson only gave penicillin to several dozen endocarditis patients, Charlie Aronson first among them ; only saved several dozen lives, Charlie among them.

Dawson's pioneering effort to inject Charlie with penicillin on October 16th and 17th 1940 (Dies Miribilis) certainly didn't directly save many lives.

But the moral fact that Dawson cared enough in the first place about Charlie-the-person, to pioneer in making and to giving him penicillin, has certainly saved tens and tens of millions of lives ever since Dawson's premature death in 1945.

If  only the greater cultural milieu surrounding Dawson and Charlie had been as willing - nay as eager - to save Charlie 'the 4F of the 4Fs' as Dawson was, it might also have been as willing - nay eager - to save the Jews of Europe as well.

Immaterial that Charlie was almost certainly Jewish as well : the point to Dawson was that Charlie was a fellow human being, end of story.

Social medicine, Dawson's domain, says that medicine is not just the narrow manipulating of bio-chemical activities to save lives.

It holds instead the view that most people die prematurely, not because their bodies failed or because medicines failed, but because the world around them see them as not worth much, so not worthy of much effort, time and expense to try to save them.

Doctors who challenge these utilitarian views by their voices and their actions indirectly save far more lives than do their equally competent colleagues who may directly save more lives, but who are content to only save the lives their culture deems worthy of saving.

The Allies (rather like the Axis, differing only in degree not in kind) divided the world of World War Two into three parts, like Gaul.

There were the enemy-oriented people and the allies-oriented people : themselves further divided into 1A allies and 4F allies.

Until June 1943, only enough American resources were going to be devoted to penicillin to ensure that the needs of the 1A allies would be met.

Then the American WPB (Wartime Production Board) made its most surprising decision ever : that a considerable portion of America's bomb and bullet making potential would be diverted instead to making lifesavers - penicillin lifesavers enough to save soldier and civilian alike.

This was not a decision followed by Britain , Canada and Australia.

They decided to divert only enough of their country's resources to penicillin-making to fill the needs of their armed forces at a minimal level.

Winston Churchill and his Tory-dominant government took the lead on this decision, by their broad hints and inaction (if nothing else), and the other Commonwealth nations chose to follow his lead rather than that of the WPB.

A single additional Lancaster bomber squadron is about three million pounds in 1943 money,(about a million pounds in planes , plus two million pound  more for the 500 members of the squadron , hangers, armaments, fuel etc).

This amount would have paid for enough new penicillin production facilities such that by early 1944 , Britain's could have supplied its civilians as well as its soldiers.

Ie, match the Americans' penicillin output, despite using a lower level of technology.

We know well enough the costs of a Lancaster squadron and  the costs of Glaxo's low tech but highly efficiently run bottle-penicillin factories , to be able to make this claim with a great deal of certainty.

Churchill, however, chose 'LANCs over PEN' and paid for it in the surprising election results of June 1945 ; the inequalities of  wartime health care provision being the number one reason most people chose the egalitarian Labour Party over the war-winning Tories.

America's super abundance of wartime penicillin allowed it to use penicillin as a tool of diplomacy , replacing British influence with that of the Americans at every turn : replacing Pax Britannica with Pax Americana,  again causing Churchill to "win the war but lose the world".

Dawson did not force the WPB to make the decision it did, though certainly his uniquely civilian oriented approach to penicillin treatment, starting way back in September 1940, must have played a part.

But the WPB pledge was just that : a pledge - it was up to industry to carry it out.

Industry was willing - even eager - to build high tech buildings out of extremely scarce materials now suddenly obtainable thanks to top-of-the-drawer allocation quotas for would-be penicillin producers.

Postwar, those buildings would give them an early lead on their competitors.

But they weren't so willing to make biological penicillin in those shiny new buildings, not with rumours than synthetic penicillin was just months away.

Dante Colitti forced their hand.

In August 1943, the junior staffer, a surgical resident at a small hospital a mile from Henry Dawson's hospital,  was about to get married and go on a honeymoon. He didn't have to go poke his nose into the affairs of a patient in the non-surgical part of the hospital.

But he did.

He was moved by what he had heard about the dying Henry Dawson a mile away being willing to steal government penicillin to save the weak and the small.

 And perhaps because Colitti himself was a lifelong "cripple", suffering from TB of the spine.

Dante decided to risk his own career by intervening over the other more senior doctors' heads on a patient that wasn't even his --- urging the patient's parents to call the Hearst newspaper chain directly, to ask them to help obtain the tightly rationed penicillin needed to save the baby's life.

The resulting day by day heart-rendering accounts and photos of the life-saving efforts for little Patty Malone finally - albeit 15 years late - put a human face on penicillin.

Suddenly the population woke up to the fact that they wanted/  needed  penicillin -right now ! - and what was their Congressman doing to see that it happened ?

Doctor Mom, in high dudgeon , can provoke fear even in generals, industrialists and Presidents and soon John L Smith, boss of the biggest potential penicillin producer (Pfizer) got the moral message as well.

The chain reaction : Dawson + Charlie : Dante Colitti and Patty Malone:  John L and Mae Smith and memories of their own dead daughter  + Pfizer : tons of and tons of penicillin by April 1944,  is clear enough .

Also clear enough is an ageless message : one person, even if they are dying, can indeed make a world-quaking difference .....

Tuesday, December 18, 2012

Was there a Parran-Hearst Telegram ? (You provide the penicillin, I'll provide the pictures)

"Operator, get me Washington, tell 'em I'm from Hearst..."
There is no firm evidence that Citizen Hearst ever sent that infamous telegram to the famous war artist Frederic Remington in Cuba.

We all know which telegram:  the one where Remington is sent out to illustrate the ongoing civil war in Cuba, but finds all is quiet and begs to go home.

Hearst supposedly telegraphs him to stay : "(If) you furnish the pictures, I'll furnish the war."


Hearst proceeds to puff up the accidental explosion on board the battleship The Maine as an act of sneaky warfare by the Spanish, ("Remember Pearl Harbour" 50 years ahead of schedule) and the rest is history: Yellow Journalism's finest moment.

Or is it ?

For a start, that particular telegram was apparently never sent.

But did the aging Hearst later intervene with US Surgeon General Thomas Parran in August 1943, to get penicillin to a dying baby girl in Manhattan ?

Was this Yellow Journalism's finest moment ?

The Pulitzer Committee apparently felt so - and it is worth noting that Pulitzer and Hearst were the most bitter of bitter enemies.

Consider what we know (or think we know).

Supposedly the whole thing started with a phone call from the distraught father (Lawrence J Malone) of a dying two year old girl called Patricia Malone, made to the city desk editor of the Hearst media empire's flagship newspaper, the New York Journal-American.

Actually Malone quickly fades back into the wallpaper , as do the nominal doctors for the baby girl.

Because in fact, Malone was set up for the call by a crippled Italian-American surgical resident named Dante Colitti, then working at the tiny Lutheran Hospital in upper Manhattan, about a mile from pioneering penicillin doctor Henry Dawson's hospital, Columbia Presbyterian.

The little girl was dying of blood poisoning and normally a surgical staffer - a mere resident at that - has no place in treatment decisions for that sort of illness.

But Colitti was raised right, with a good moral education and he couldn't stand by and let her die, when he knew that not a mile away, Henry Dawson was dragging babies like her back from the grave with his Floor G penicillin.

And Colitti had no cause to love the New York medical establishment which supported the limiting of penicillin to curing VD cases among the unfaithful husbands and boyfriends of the combat corps.

In the 1930s, he had been rejected from attending any New York medical school, by an informal quota system designed to keep out Catholics and Italians.

 (And Jews and Blacks and Asians and Women. Colitti's parents were recent immigrants to America).

Colitti had a permanently bent spine as a result of childhood TB and had to use crutches so it was probably the excuse given him for his rejection.

But Colitti knew that Henry Dawson, just a mile north of him, was working with a doctor who used crutches thanks to polio and another doctor who was missing an arm.

The only real difference was that these were Protestant men, with native-born parents.

Colitti paid a private medical college in Massachusetts to get his MD degree but no New York hospital would recognize any degree not granted by one of the quota-oriented establishment schools.

It was a closed loop.

But WWII led to a desperate shortage of medical staff and even New York's medical establishment had to let people like Colitti in to do the lowest medical jobs, at least until the war was over.

But the highly morally minded Colitti felt that if they had displayed no charity towards a cripple, that did not mean he would follow suit.

Hence his setting up of the phone call to the Hearst paper : he knew exactly who would cause the most noise.

The Journal-American photo-journalists were then world famous for their large, vivid, gripping front page photographs and a dying baby story was just made for their skills.

The Hearst editor got no where ( says the AP press agency) with the OSRD's Dr Richards or with the NAS Committee on Chemical Therapeutics.

But somehow or other the newspaper knew of the ongoing conflict between those who felt we could best win the war ("Hearts & Minds") through well publicized Social Medicine versus those that felt that secretive and rationed War Medicine would save more scarce resources for "Guns & Bullets".

Because the newspaper ultimately got the penicillin it needed from that supply reserved for the US Public Health Services (at that time, it only had a tiny amount of penicillin and it was only normally used for treating cases of VD among merchant seamen.)

Released by drug company Squibb upon the direct order of Thomas Parran, US Surgeon General and head of the US Public Health Services (then a relatively small and powerless body compared to its status today.)

Parran versus Weed over the fate of wartime penicillin


Parran was the de facto head of the Social Medicine forces, while the NAS's Lewis Weed was the voice of War Medicine.

Did Hearst or his senior staff know of this ongoing debate and approach Parran directly, dismissing his concerns about tackling the all-powerful OSRD and NAS by reminding him he had no love for the NAS's Weed anyway , and that if he would only provide the penicillin vials, Hearst photographers would provide the poignant pictures.

Yellow Journalism and the Yellow Magic then proceeded to make beautiful music together : because the Patty Malone Story ultimately spelled the end to the Age of Modernity ...