ONTD Political

Welp I guess I'll kick off Black History Month....

6:59 am - 02/01/2012
J. Marion Sims.

J. Marion Sims (1813-1883) practiced medicine in central Alabama from 1835 to 1849. He is often credited with being the "father of gynecology," but his methods and practices caused great controversy regarding his place in medical history. During his Alabama years he developed medical and surgical techniques and tools that revolutionized the new field of gynecology and through them had a successful career in New York and Europe. Critics, however, point out that Sims's experimental surgeries, which were performed on enslaved women subjected to forced treatment, caused great suffering and helped to prop up the institution of slavery. Sims thus remains a controversial figure in medical history, despite his contributions to the field.

James Marion Sims was born on January 25, 1813, in Hanging Rock, Lancaster County, South Carolina, to Jack Sims and Mahala Mackey Sims. He was the oldest of seven children. His family first had a small farm, then an inn in Lancaster, S.C. He attended South Carolina College and in 1835 earned a medical degree from Philadelphia's Jefferson Medical College. Upon graduation, Sims opened a practice in Lancaster. His new practice failed within the year after two infants under his treatment died, and he set out for the frontier region of western Alabama. He settled in Macon County, where he earned a living treating slaves on the local plantations. In his autobiography, The Story of My Life, Sims described his rural practice as carrying a gun and riding a pony, his dog running along side.

J. Marion Sims lived in Mt. Meigs for Sims's Mt. Meigs HomeIn December 1836 he married Theresa Jones, also from Lancaster and the daughter of the wealthy widow of a local doctor, with whom he had nine children. After their marriage, the couple moved to Mt. Meigs, in Montgomery County, where Sims continued his practice for the plantation owners. In 1841, after suffering bouts of malaria and also intestinal disorders, he moved his practice into Montgomery, trading in his pony for a four-wheeled cart with a horse and driver. By 1850, Sims's practice was very successful, and the family owned 17 slaves, a house and a building for treating patients. During this period, Theresa Sims's mother and brother and Sims's father and sisters relocated to Montgomery as well.

In Montgomery, Sims developed his surgical expertise, and developed techniques for treating cleft palette and what was called trismus nascentium, or newborn lockjaw, a form of tetanus contracted through contact with animal dung. Sims also began his career as a path-breaking and controversial figure in gynecology in Montgomery with his treatment of enslaved women suffering from vesico-vaginal fistulae (VVF) and recto-vaginal fistulae (RVF), which are tears that occur between the vagina and the bladder and less often between the vagina and the rectum as a result of prolonged labor. The condition remains prevalent among poor women in many societies today, and sufferers are usually left incontinent and are often shunned by society.

Under the authority of three local plantation masters, Sims performed experimental surgeries primarily on three enslaved women, Lucy, Betsey, and Anarcha, as well as various others, during the course of nearly four years. Anarcha, for example, had given birth at 17 after laboring for three days. Sims used forceps to end the ordeal, and found that she suffered from VVF in the aftermath. In 1849, after some 30 surgeries, all of which were performed without anesthesia, Sims claimed he had cured her.

J. Marion Sims's practiced medicine in this office Sims's Montgomery OfficeSims operated repeatedly without success on patients who had no say in the decision-making process that led up to their surgeries. He used opium to render them addicted and immobile. During the course of these and other surgeries on female patients, Sims developed a new type of speculum, which allowed him greater access to the areas most affected by VVF and VRF. This tool, called the Sims duck-billed speculum, is still in use today. Despite the controversy surrounding Sims's methods, the medical innovations and techniques he developed during his Montgomery days, including the speculum, the Sims position (which allows greater visibility for the doctor) and the Sims sigmoid catheter, revolutionized the new field of gynecology.

Sims often suffered from bouts of malaria and other maladies, and in the early 1850s he visited Philadelphia and New York City in search of a healthier climate. His interactions with other doctors in those cities helped to build his reputation, as they learned and began to use his tools and techniques. In 1852 Sims published an article about his VVF surgery and soon after became head surgeon at the Woman's Hospital of the State of New York, founded to treat the condition.

At the onset of the Civil War in 1861, Sims left the United States and settled in Paris. He became internationally famous after ministering to European royalty, including the empress of Austria. After the end of the Civil War, he returned to the United States for a permanent residence. After a conflict with the hospital administration, Sims resigned from The Woman's Hospital of New York State in 1874. His private practice thrived. In 1876 he was named president of the American Medical Association. He composed his memoirs, The Story of My Life, in 1883 just before his death.

Today there is considerable debate about the ethics of his surgeries. His innovations stand as a lasting contribution to medicine, as many women continue to incur the labor-related injuries suffered by Sims's patients. Generally, however, scholars and other researchers consider Sims's methods unethical, and indeed some have compared his experiments with those conducted during the Tuskegee Syphilis Study and in Nazi Germany.


I didn't bold too much as it is a good read. While not about an African-American person, still nonetheless important to Black History.
arisma 1st-Feb-2012 09:08 pm (UTC)
I labored for hours on my back, finally said fuck you all and got on hands and knees and my daughter was born very shortly thereafter. It's less convenient for the doctor, that's why the back only thing is still pushed.
mariechan 2nd-Feb-2012 12:29 am (UTC)
For some reason that does sound easier. They should really try and encourage it more.
arisma 2nd-Feb-2012 01:07 am (UTC)
Trust me when I say there was no thought involved in position selection, just pure adrenaline and instinct, lol. It did make a huge and instant difference for me, tho, even considering the fact I have horrible, horrible knees. Women should be encouraged to go with what works for them, I think.
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