Monday, September 29, 2014

Alice McNeal, M.D.: Alabama's First Female Anesthesiologist

          On May 8, 2010, in a ceremony in Montgomery, Alice McNeal, M.D., was inducted into the Alabama Healthcare Hall of Fame along with other members of the 2010 class of honorees. Dr. McNeal became the second anesthesiologist inducted; Robert A. Hingson, M.D., in 1999, was the first. 

       The Hall of Fame was established in 1997 “to recognize those persons, living or deceased, who have made outstanding contributions to, or rendered exemplary service for healthcare in the State of Alabama.” Past honorees have included such well-known medical figures as Peter Bryce, William Crawford Gorgas, James D. Hardy,  Seale Harris, Tinsley R. Harrison, Sr., Luther Leonidas Hill, Basil I. Hirschowitz, John W. Kirklin, Josiah C. Nott, Lloyd Noland, David Satcher, and J. Marion Sims. 

In September 1945, the first class of students began their studies at the Medical College of Alabama in Birmingham. This four-year school had replaced a two-year program in Tuscaloosa, and thus students no longer needed to leave Alabama to obtain a medical degree. The demands of creating this school quickly and almost from scratch led DeanRoy Kracke to open a few opportunities for female physicians. When the school opened, Dr. Melson Barfield-Carter, an Alabama native who had practiced radiology in the city since 1929, was named Professor and Chair of the school's Radiology Department. Three years later, Dr. Alice McNeal became the second female department chair at the Medical College.

            Alice McNeal was born in 1897 in Hinsdale, Illinois. She graduated from Rush Medical College in Chicago in 1921, and during the next two years completed internships at Women's Hospital in Philadelphia and Durand Hospital in Chicago. In 1925 she began a stretch of twenty-one years as Anesthesiologist and Instructor in Anesthesia at Presbyterian Hospital in Chicago. During this period she completed a residency in anesthesia under Huberta Livingstone in 1926 and a second residency under Ralph Tovell in Hartford, Connecticut, in 1938 and 1939. Dr. McNeal was certified by the American Board of Anesthesiology in 1941.



McNeal in 1921, at the time she received her Rush MC certificate

She received her M.D. the following year, one of 5 women among 129 total graduates


Source: Rush-Presbyterian-St. Luke’s Medical Center Archives [Chicago]


 

            During World War II McNeal was active in the effort to bring female physicians into the U.S. armed forces. Women doctors had not been allowed to enlist in World War I; they could not yet vote and thus were not "citizens". A few were allowed to be "contract" physcians during that conflict. McNeal and Dr. Virginia Apgar led the effort in World War II; in April 1943 the Sparkman-Johnson Bill passed Congress, and women were allowed to enlist. 

            By early 1946, Dean Roy Kracke needed a Chief of Anesthesia for the hospital of the new medical school. Apparently John Adriani, a prominent anesthesiologist at Charity Hospital in New Orleans, was offered the position but declined. By May of that year Dean Kracke had persuaded Dr. McNeal to accept the post, and she arrived in Birmingham to become an Assistant Professor of Surgery and Chief of the Surgery Department's Anesthesia Division. In August 1948, Dr. McNeal was named Chair of the newly created Department of Anesthesiology and remained in that position until stepping  down in 1961. She retired the following year. Dr. McNeal died on December 31, 1964.

            In October 1946 Dr. McNeal began organizing a School of Nurse Anesthetists at the hospital. In the spring of 1948 she was one of four founding members--and the only female--of the Alabama State Society of Anesthesiologists. As a result of her efforts, the department's residency program was certified by the American Board of Anesthesiology in February 1949. In that same year, under the auspices of the International Refugee Organization, Dr. McNeal made a nine-week trip to Munich, Germany, and lectured to some 150 local physicians on modern medical practices. She served as President of the Southern Society of Anesthesiologists for 1956-57.

            Dr. McNeal’s professional career had two phases. At Presbyterian Hospital in Chicago, she worked under Dr. Isabella Herb and two other female anesthesiologists, Drs. Nora Brandenburgh and Mary Lyons. By the time she arrived in Alabama, she already had 21 years experience in anesthesia. In her new home, she found herself to be not only one of the few female physicians but one of the few physician-anesthesiologists in the state. In the early years, she coordinated anesthesia administration at the university's busy hospital (formerly the county hospital in the state's most populous county) with help from a few nurse anesthetists, an occasional resident, and sometimes a dental student doing an anesthesia rotation. By 1950 her department coordinated 9700 anesthetics a year at the hospital.

Dr. McNeal presents the Chief Resident’s Chair to Patricia F. Norman, M.D. in 1959. This tradition continued in the department into the early 1990s. 

Source: UAB Archives




She is remembered fondly by those who knew her; former UAB President Dr. Charles McCallum's comment that she was "a great teacher, well-liked, and worked hard" is typical. Dr. McCallum also said “She loved to dance.”  [Source: my interview with Dr. McCallum in 1992] Jim Jones, M.D., a faculty member in her department from 1958 until 1960, remarked that “She dearly loved fine conversation, classical music and well-written books…and good scotch!” Dr. Jones also noted, "Alice in an interview shortly before her demise, denied being a pioneer but did admit to being perhaps a veteran in the field of anesthesiology." [Sources: written tribute by Dr. Jones, December 1971 and my interview with him in March 1996] 

          Former UAB President S. Richardson Hill, Jr., told me in a letter in June 1993 that "I liked her very much and thoroughly enjoyed her company...my wife was also very fond of her, and occasionally on special occasions they exchanged presents. At one time Alice gave my wife a beautiful pocketbook which she had made."

           Unfortunately, Dr. McNeal committed suicide on New Year's Eve 1964. She had stepped down as Chair of the department in 1961, although she remained on the faculty for a year or so after that. McNeal was an only child; her parents were long dead, and apparently she had no reason to return to Illinois. Her body was cremated, but a gravestone for her can be found in Birmingham's Elmwood Cemetery. There the spirit of this stranger in a strange land rests along with many other individuals prominent in Alabama history.


Although she published only two research papers, Dr. McNeal created the foundation for academic anesthesia in the state by chairing the first department for so long, providing excellent patient care and many clinical improvements, and training so many anesthesiologists, dentists, and nurses. Dr. McNeal is thus an important figure both in the history of the state's medical education and its female physicians as well. She was the first female anesthesiologist in Alabama, and one of the first females to chair of an academic anesthesia department in the United States. In 1998 the University of Alabama Board of Trustees established the Alice McNeal, M.D., Endowed Chair in Anesthesiology in her honor.



Dr. McNeal and others in the Hill Heart Suite, Medical College of Alabama, Birmingham in the early 1960s.
Source: Alvin Bearman, M.D. [one of her last residents]




Two photos of Dr. McNeal during her time at UAB. 



•Ca. 1922

•Graduated MC Phi Beta Kappa and AOA
•Woman on right may be her mother
•Photo taken in back yard of family home?

Source: Fran Watkins, long-time CRNA at UASOM




Anesthesia Staff, Presbyterian Hospital, 1936

Nora Brandenburgh, M.D.
•Alice McNeal, M.D.
•Mary Lyons, M.D.
•Isabella Herb, M.D.
•Spring 1936


      Source: Bulletin, Presbyterian Hospital, April 1936







Anesthesiology 11: 96, 1950 [Department’s first publication]


Julie Cole Miller has written a very nice profile of Dr. McNeal with some additional photos that is available here.
 

Thursday, September 25, 2014

Birmingham Photos of the Day (21): Two Glen Iris Park Homes in 1908

Two of these photographs continue our series from the 1908 publication Views of Birmingham. Among the impressive homes included in the book are a pair from Glen Iris Park.

In 1901 Robert Jemison, Sr., began development of the park, which included 20 two-acre residential lots around a central area of trails and green space. Most of the homes had been built by 1940, although one was built in 1998 in the 37-acre park.

The two homes shown here from the 1908 book were built initially by Jemison and William Harding. Born in Tuscaloosa, Jemison [1853-1926] became a leader in early Birmingham. He served as first president of the city's consolidated railway, light and power firm and as a director of Southern Railway and the First National Bank. Glen Iris Park was the first subdivision in Birmingham to be designed by a professional landscape architect. Jemison also developed the East Lake residential area.

Harding was also an Alabama native. An 1881 UA graduate, Harding achieved first success in Birmingham as president of the First National Bank and of the Alabama Banker's Association. In 1914 he was appointed to the U.S. Federal Reserve Board and served as it's second Chairman from 1916 until 1922. The following year he became president of the Federal Reserve Bank of Boston, where he died in 1930.

In 1984 the area was named a national historic site by the U.S. National Park Service. Recent photos of the Glenn Iris Park historical marker and the Harding and Jemison homes can be found at the Historical Marker Database.




William P.G. Harding [1864-1930]
Source: Wikipedia




Here's a postcard from 1910 featuring the Jemison House:


Source: Alabama Department of Archives & History Digital Collections

Monday, September 22, 2014

USS Alabama Charter Member: "Good for FREE Admission"

Sunday, September 13, 2014, marked 50 years since the battleship USS Alabama's arrived in Mobile Bay. That World War II ship is the fifth to be named after the state. Decommissioned in 1947, the Alabama and three sister ships were scheduled to be scrapped in 1962. In September 1963 the state established a committee to save the vessel and by spring 1964 over $800,000 had been raised to tow the ship to Mobile from Bremerton, Washington, refurbish it and create the park. That final voyage took almost three months. 

Today the USS Alabama and the country's oldest submarine and first opened to the public, the USS Drum, make up a memorial park that's a great place to visit and learn something about the service of so many Alabamians in the U.S. Armed Forces. Some years ago my brother and I took my son and his older son to explore the labyrinthine interiors of both ships and wonder how men could actually live and work in such close quarters. 

Over a million school children in Alabama contributed about $100,000 in small change during that fund raising campaign in the 1963-64 school year. We received the card below in return for those donations, and I recently rediscovered mine. Perhaps I can use it soon and revisit the park. Each year over 50 of these passes are redeemed.





Thursday, September 18, 2014

What's Local, Online & Free? History, of Course!

The Birmingham area includes several counties and many cities with remarkable histories. Three local efforts are bringing much of that rich web of the past to screens near you.

Birmingham Public Library offers access to collections of images and texts of the African American Experience in Birmingham, the Alabama Theatre, some early newspapers, city buildings, old homes, businessmen and business districts. Also available are scrapbooks of newspaper clippings and local school yearbooks. The Birmingham Memory collection features submissions by the public.
 
Each BPL collection may have several subdivisions.  For instance, the African American Experience collection features a number of subjects, including churches, civil rights, and A.G. Gaston. Various groups such as inventors, lawyers, mayors, musicians and nurses; and schools such as the Industrial High School [now Parker High School] and the Tuggle Institute are also included.
   
In 1903 local social worker and educator Carrie Tuggle opened her Institute for the housing and education of African-American orphans in the area. Within a decade the facility had almost 150 students, most boarding at the school. The Institute became a part of the Birmingham public school system in 1926, and the current Tuggle Elementary School carries on the name. Alumni of the public school have included businessman A.G. Gaston and musicians Erskine Hawkins, Jo Jones and Fess Whatley.







 Research Club at Tuggle Institute in 1911
Source: Birmingham Public Library Digital Collections



Tuggle Institute c. 1906
Source: BhamWiki




Carrie A. Tuggle [1858-1924]
Source: Birmingham Public Library Digital Collections

Besides material about the history of the university, UAB’s digital offerings include oral histories related to the city and Alabama, pellagra in Alabama and Mervyn H. Sterne, a local businessman for whom one of UAB’s libraries is named. Pellagra is a nutritional deficiency disease that was rampant in the South in the first decades of the 20th century.

Also available from UAB is the Birmingham Medical College collection, material related to the school that operated in the city from 1894 until 1915. The college was one of many proprietary schools in the U.S. before World War I. As state legislatures and the American Medical Association began stricter regulation of medical schools, these small for-profit businesses like Birmingham Medical College began to close. The city remained without a medical school until the Medical College of Alabama moved here from Tuscaloosa in 1945.

A third resource devoted to Birmingham history and culture is the BhamWiki project. A private Wiki project that covers all topics related to the city and the surrounding area, BhamWiki currently has over 10,400 articles and 2400 illustrations available for the interested public. Contributions from anyone are encouraged.

Alabama Mosaic is another catalog of online print and image resources from the collections of numerous libraries, museums, archives and government agencies in the state. Many Birmingham area materials including those from BPL and UAB are linked in this database. All of the resources mentioned here are free to use for personal study and research.





















This piece originally appeared on the DiscoverBirmingham.org site on July 25, 2013.






Monday, September 15, 2014

Pelham Heights Hotel


For a few years early in the 20th century Pelham had its very own resort hotel. The structure with 60 rooms was built in the summer of 1912 as a place for the annual encampment of Alabama Baptists. The grounds also featured a dining hall, auditorium, swimming pool and tennis courts. The religious affiliation did not last, however; and the complex soon became a resort for the general public.
The buildings were located off what is now County Road 52 on the mountain dividing Pelham and Helena. According to one source, Helena, Alabama, by Ken Penhale and Martin Everse, the structures were dismantled in the 1920s and moved to Cook’s Springs in St. Clair county. In his book Historic Alabama Hotels & Resorts James Sulzby includes a chapter on Cook’s Springs, but that hotel and resort were already operating very early in the 20th century. He makes no mention of the hotel in Pelham.
Today the site of Pelham’s short-lived resort is marked by a Pelham water tower.

Pelham Heights Hotel
[Photo courtesy of the Shelby County Historical Society/President Bobby Joe Seales]
This item originally appeared in the Pelham City News September 2014.

Thursday, September 11, 2014

Pondering an Alabama Map (3): Pelham in 1928


This map is the third one I've discussed that shows the tiny community of Pelham. The previous maps were issued in 1917 and 1926. All three full maps can be seen in UA's wonderful Historical Maps of Alabama collection.

Now we come to an Alabama highway map issued by the state highway department. Issued in the fall of 1928, the map was created and published by the General Drafting Company of New York City. Founded in 1909, the company operated for many decades.

On the portion of the map shown below, we can see many familiar towns, from Brighton and Bessemer to Brierfield and Childersburg. U.S. Highway 31 already provides a north-south artery. 

The most current state map shows highway 25, but no highway 62. I could not find state highways 3 or 5 either. No doubt renaming of roads has occurred often in the decades since 1928.

You can still find Simmsville on the current map, east of Indian Springs Village which of course did not exist in 1928. Calcis, a former mining town, is also shown. But Newala, Shannon and Underwood have all disappeared from the state's latest highway map. Shannon was a mining town named after John Shannon who operated a mine there before World War I, according to Virginia Foscue's book Place Names in Alabama. Foscue notes that Underwood was named for a family that settled there in the 1830s. She has no entry for Newala. 

This post concludes the series on Pelham's appearance on three maps early in the twentieth century. Next time I'll take a look more generally at state highway maps.

 A fascinating history of the early "good roads" movement in Alabama is Martin Olliff's "Getting on the Map: Alabama's Good Roads Pathfinding Campaigns, 1911-1912" in the Alabama Review 2015 January; 68(1): 3-30.



Monday, September 8, 2014

Alabama Library History: Bookmobiles

For many decades one of the outreach methods used by public libraries all over America has been the bookmobile. These rolling collections brought reading material to both adults and children who often had no way to get to the city or county's public library building. A recent article by Piotr Kowalczyk on the "10 Most Extraordinary Mobile Libraries" describes a variety of moving libraries from around the world.

Below are some photographs of bookmobiles that once toured the roads in Alabama. These images come mostly from the digital collections of the Alabama Department of Archives and History. In many the vehicle seems to be parked in front of a school, which often had no library or a poorly stocked one. The photographs seem to date from the 1920's and 1930's. Some city and county public libraries in the state still operate bookmobiles including Baldwin, Huntsville-Madison, Mobile and Tuscaloosa. 

Two brief pieces on early bookmobiles can be found in the book The Heritage of Jefferson County, Alabama, published in 2002: "Jefferson County Free Library Bookmobile" by James Spotswood and "When the Bookmobile Came to Aunt Ruth's House" by Frances Hulsey Pardue, both on page 211.

Some nice photographs of the Tuscaloosa County bookmobile from days past can be found here.




This bookmobile was in Anniston.


This bookmobile was operated by the Jefferson County Free Library.




Here the Jefferson County Free Library bookmobile is parked at the U.S. Post Office at New Castle where women are browsing through the choices. New Castle was a mining town near Fultondale; a post office was established in 1874. Some filming for the 1925 silent movie Coming Through was done here. From the looks of the tree and the women's coats, this visit must have taken place in winter.



This photo shows the Jefferson County Bookmobile outside the service entrance to Birmingham Public Library in 1939. Librarian Dorothy West is flanked by two of the bookmobile drivers.


This vehicle seems to have been a rolling advertisement for Cullman County's bookmobile.


Here's a Montgomery County Bookmobile

And finally, a bookmobile in Tuscaloosa County [and finally a grown man!]


Inline image 1

Jefferson County Bookmobile in front of the Thomas H. McAdory house in Bessemer ca. 1940



An undated photograph of BPL's "Traveling Branch"

Source: Birmingham Public Library Digital Collections




This "romance for young moderns" was published in 1956.