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2-9-23 Medical Photography and the Humanities

February 20, 2023
  • 00:00Good afternoon. My name is Anna Reisman.
  • 00:03I'm director of the Program
  • 00:04for Humanities and Medicine,
  • 00:05and I'm very pleased to welcome you to
  • 00:08this special event that is a collaboration
  • 00:10with the Medical Historical Library and
  • 00:13my wonderful colleague, Melissa Graff.
  • 00:15I am so grateful that Melissa
  • 00:17reached out back in the fall,
  • 00:19and I remember when it was to
  • 00:20propose an event to celebrate the
  • 00:22opening of this splendid exhibit,
  • 00:24which which I think all of you
  • 00:26know is entitled the medical lens.
  • 00:28Highlights from the Stanley B Burns, MD.
  • 00:30Medical photo collection.
  • 00:32And after I make the introductions,
  • 00:35Melissa will tell you a little bit
  • 00:37more about how we got here today.
  • 00:38But I want to just again say welcome
  • 00:40now to our live and zoom audiences,
  • 00:43and this particular event is called
  • 00:45medical photography and the humanities,
  • 00:47connecting history to practice.
  • 00:50And I will introduce our speakers.
  • 00:52So Doctor Stanley B Burns is an
  • 00:55ophthalmologist and research professor of
  • 00:57medicine and psychiatry and a professor
  • 01:00of medical humanities at New York University.
  • 01:03He's an internationally distinguished author,
  • 01:05curator, historian,
  • 01:06collector and archivist.
  • 01:08He began collecting historic
  • 01:10photography in 1975,
  • 01:12with an emphasis on unique photographs
  • 01:14not available anywhere else.
  • 01:16Doctor Burns's collection of over
  • 01:191,000,000 vintage photographs.
  • 01:211840 to 1950 has been generally
  • 01:23recognized as the most important private,
  • 01:25comprehensive collection of early
  • 01:27photography.
  • 01:28In 1977, he founded the Burns
  • 01:30Archive to share his discoveries,
  • 01:32and he began his writing career.
  • 01:34He has since written 50 photo historical
  • 01:37texts and more than 1000 journal articles,
  • 01:40and has curated more than 100 exhibitions.
  • 01:43Maybe this is #101?
  • 01:46He consults on feature films,
  • 01:48documentaries and television series,
  • 01:50and he was the medical,
  • 01:52historical and technical adviser to
  • 01:54the HBO Cinemax series The Nick,
  • 01:56about a New York City hospital
  • 01:58in the year 1900,
  • 01:59as well as the PBS Civil War series Mercy St.
  • 02:04And that was only like a little bit
  • 02:05of the bike bio that I received,
  • 02:07which is like this so.
  • 02:11Chitra Ramalingam is an interdisciplinary
  • 02:13curator and academic working
  • 02:15between history of science,
  • 02:17history of photography,
  • 02:18and museum studies.
  • 02:20She's been a postdoctoral research
  • 02:21fellow at the Science Museum,
  • 02:23London and the University of Cambridge,
  • 02:25a photography curator at the
  • 02:26Yale Center for British Art,
  • 02:27and is now on the faculty in the history of
  • 02:29Science and Medicine program here at Yale,
  • 02:31where she teaches courses on
  • 02:33the visual material and sensory
  • 02:35culture of science and develops
  • 02:38experimental collaborative pedagogies
  • 02:39around university collections.
  • 02:41She's the author of to see a spark
  • 02:44experiment and visual experience
  • 02:45in Victorian science and Co,
  • 02:47editor of William Henry Fox,
  • 02:49Talbot beyond photography,
  • 02:51which was published by Yale University Press.
  • 02:55She is Co editor of the essays and
  • 02:57Review section of the journal Historical
  • 02:59Studies in the natural sciences and
  • 03:01a member of the editorial collective
  • 03:02for 100 histories of 100 Worlds.
  • 03:04In one object,
  • 03:05a dynamic collaborative project
  • 03:07centering excluded voices and
  • 03:08histories around objects from the
  • 03:10global South in the British Museum.
  • 03:12And a few weeks ago, late breaking news.
  • 03:14She just began a new position
  • 03:16at the Guggenheim.
  • 03:18And finally,
  • 03:19Melissa Graff is the head of the
  • 03:21Medical Historical library here
  • 03:22at the Yale School of Medicine.
  • 03:24She joined Yale in 2011 as the John R
  • 03:27Bumstead Library for medical librarian
  • 03:29for medical history at the Harvey
  • 03:31Cushing John Hay Whitney Medical Library.
  • 03:34Melissa received her PhD in the
  • 03:35history of medicine from Johns Hopkins
  • 03:37in 20 oh nine and was a council of
  • 03:39Library and Information Resources post
  • 03:41DOC at Lehigh University Library.
  • 03:43Melissa leads the Medical Historical
  • 03:45Library team and manages the
  • 03:47library's collections,
  • 03:48including over 100,000 medical and scientific
  • 03:51volumes from the 12th to 21st centuries,
  • 03:54as well as a growing digital archive.
  • 03:56She works with students and
  • 03:58faculty on research and classes,
  • 04:00develops grants and publications
  • 04:02overseas major digitization projects.
  • 04:04Curious in stages exhibits exhibitions,
  • 04:06and manages donations, among other duties.
  • 04:09Her most recent publication,
  • 04:11treating the digital disease,
  • 04:12the role of digital and physical primary
  • 04:15sources in undergraduate teaching,
  • 04:16considers the role of physical and digital
  • 04:19collection in undergraduate education.
  • 04:21So thank you again, Melissa,
  • 04:23for proposing this event
  • 04:24and putting it together.
  • 04:26Thank you Karen Cole,
  • 04:28the program manager.
  • 04:31Of the humanities and medicine program.
  • 04:32And thank you to our ASL interpreters,
  • 04:34who are available on zoom.
  • 04:36Everybody else involved in planning this,
  • 04:38thank you so much.
  • 04:46Good evening everyone and again
  • 04:47thank you so much for joining us for
  • 04:49this presentation for the kind of
  • 04:51opening event for the medical lens,
  • 04:53our new exhibition featuring the Stanley
  • 04:56Burns Medical Photography Collection.
  • 04:58You know, it's been a long time coming.
  • 05:00We've worked together for many years,
  • 05:01Doctor Burns and I to you know,
  • 05:05look through the collection
  • 05:07and share excitement about the
  • 05:09medical photography that he has.
  • 05:10He has much more in his in his home,
  • 05:13but we're happy to have this
  • 05:15part of the collection.
  • 05:16We don't need,
  • 05:17I don't think we need a million.
  • 05:18I think Kathy would kill me.
  • 05:19Our archives, so.
  • 05:22And I also want to thank, you know,
  • 05:25really the incredible historical library,
  • 05:27my colleagues in the Medical Historical
  • 05:29Library for all the work they've done
  • 05:32in order to put the exhibit together,
  • 05:34including Chris Solo, Kelly Perry,
  • 05:36Terry Jagrati, Kathy Isham,
  • 05:39Dana Howe, Melanie Norton.
  • 05:41And hopefully I didn't miss anyone,
  • 05:43but I have a Laura,
  • 05:44Brian Miller, so who just.
  • 05:46I also want to take this opportunity
  • 05:49right now to make an announcement.
  • 05:51I want to announce that Doctor Burns
  • 05:55has kindly endowed a fellowship.
  • 05:57For the study of his collection.
  • 06:00So in the next week or two,
  • 06:02we will be launching on our website
  • 06:04on the application opening the
  • 06:06applications for this new fellowship.
  • 06:08It is the Stanley B Burns,
  • 06:10MD Fellowship for the study of
  • 06:13Medical Photographic history.
  • 06:15It will provide up to $2000.00
  • 06:17for a week of research.
  • 06:19Here to delve into the Burns collection
  • 06:22along with some affiliate material.
  • 06:25So we welcome applications,
  • 06:26we hope that.
  • 06:27People can enjoy the collection as
  • 06:30we have find out new and wonderful
  • 06:33discoveries and as you know the questions
  • 06:36thousands of images here so well,
  • 06:38I think there will be a
  • 06:39lot of research pathways.
  • 06:40So without further ado,
  • 06:41I'd like to introduce Doctor
  • 06:43Burns and let him take the stage.
  • 06:44Doctor burns?
  • 06:57Well, thank you, Melissa.
  • 06:59For inviting me here and having this
  • 07:02opportunity and also to pass an issue
  • 07:05helping to put this great exhibit on.
  • 07:11The laser pointer,
  • 07:13but we'll live without that.
  • 07:16Photographs are the most important
  • 07:18media to change opinion.
  • 07:20Photographs indelibly etched the
  • 07:22mind become part of 1 psyche.
  • 07:24Iconic photographs are not easily forgotten.
  • 07:28Since their introduction in 1839,
  • 07:31photographs had played a
  • 07:33Seminole role in medicine.
  • 07:34Photographs educate physicians,
  • 07:36document their work,
  • 07:37provide research tools,
  • 07:38teach physicians how to present
  • 07:40themselves as professionals,
  • 07:42and how to interact with patients.
  • 07:45Sharing and publishing photographs
  • 07:47provide visual intellectual communication.
  • 07:49Photographs also help establish
  • 07:51the public image of medicine.
  • 07:53Photography has become the
  • 07:55universal language of our time.
  • 07:57Medical humanities attempts to expand
  • 08:00health related thinking beyond
  • 08:02strict medical scientific guidelines.
  • 08:04How patients will be treated or not
  • 08:07solely based on medical knowledge.
  • 08:10Ethical and political judgments are
  • 08:12components of healthcare decisions.
  • 08:14Historic medical photographs have an
  • 08:17important role in humanities educations.
  • 08:19How physicians acted and how
  • 08:21patients were treated in the past.
  • 08:23The extent of disease people
  • 08:25lived with social conditions.
  • 08:27And especially the limits of
  • 08:29past medical practice offers a
  • 08:32perspective of medical action.
  • 08:34Photographs illustrate the triumph,
  • 08:36as well as the social errors and
  • 08:38hubris of medical professionals.
  • 08:40Empathy and compassion for patience
  • 08:42and understanding the limits of what
  • 08:45one knows and doesn't know should be
  • 08:48driving forces in medical practice.
  • 08:50Historic medical photographs help
  • 08:52physicians learn empathy and compassion
  • 08:55as they provide a visual expansion
  • 08:57of personal experience of the human
  • 09:00condition as they can relate the
  • 09:02images to their own practice.
  • 09:04Before the eight years I have been
  • 09:07presenting historic medical photographs
  • 09:09to medical and public audiences.
  • 09:11I'm thrilled that the Yale University
  • 09:14Medical Library now has my historic
  • 09:16medical photography collection and
  • 09:18that it is cherished, cared for it,
  • 09:21and is available to a wide audience
  • 09:24in perpetuity.
  • 09:25I would like to share the history
  • 09:27of the collection,
  • 09:28and it's used as a tool of
  • 09:30medical humanities.
  • 09:36This is an example of my
  • 09:38favorite medical photograph.
  • 09:40Radiologists are in the audience.
  • 09:41They will tell you that those people
  • 09:44were probably dead in seven years.
  • 09:46Oh, they're looking at a kidney.
  • 09:49I'll take a few seconds to discuss that.
  • 09:52This is how they did kidney operations.
  • 09:54You had a kidney stone.
  • 09:55They would slice the kidney if they
  • 09:57didn't find it and that's how I turned
  • 09:59the patient over slice the other side.
  • 10:01But in 1897 with the invention
  • 10:04of the fluoroscopy and the X-ray,
  • 10:06they were able to once the kidney was
  • 10:09taken out because they couldn't go
  • 10:11through abdominal area at that time
  • 10:13they would just X-ray the kidney.
  • 10:15I'm in my 85th year.
  • 10:19Let me just get my next slide.
  • 10:21I was born in 1938 in Brownsville,
  • 10:23Brooklyn, a year before World
  • 10:25War Two started in Europe.
  • 10:27the United States entered the war in 1941.
  • 10:30I had 6 uncles in the war and I did my part.
  • 10:34I had a victory garden,
  • 10:35collected paper and especially
  • 10:37aluminum foil from cigarette packs,
  • 10:39and we saved cooking oil.
  • 10:41While most of the country
  • 10:43blatantly ignored the Holocaust,
  • 10:44despite irrefutable evidence,
  • 10:45in Brooklyn and other Jewish
  • 10:48communities it was well known
  • 10:50that Jews were being shot,
  • 10:51gassed and burned to death and
  • 10:54Jewish civilization destroyed.
  • 10:56My part as a 7 year old was to collect
  • 10:58funds for Jewish relief on the stairs
  • 11:01of the elevated train lines at Saratoga.
  • 11:04Giving you a 5:30 PM as people
  • 11:06came home from work.
  • 11:10Here is the 1943 text on the Holocaust.
  • 11:14As you can see, Mrs.
  • 11:15Roosevelt, other dignitaries,
  • 11:17Albert Einstein, they all knew
  • 11:20about the Holocaust extermination
  • 11:21camps in 1942 and they did nothing.
  • 11:24So at a young age I began my
  • 11:27lifelong study of history to find
  • 11:29out we got to our current situation.
  • 11:34I've spent my life as an
  • 11:36intellectual adventure,
  • 11:37attempting to share my discoveries.
  • 11:39Some know me best for my
  • 11:41work on death related topics.
  • 11:44On display is the postmortem
  • 11:46daguerreotype of doctor Samuel Howe,
  • 11:48a young physician who died fighting
  • 11:51the cholera epidemic in 1849.
  • 11:53The image was taken to memorialize him,
  • 11:56a once common practice.
  • 11:58My interest in death and
  • 12:01dying issues stemmed.
  • 12:03From my medical school years at Syracuse,
  • 12:06I had befriended one of my professors,
  • 12:09cultural anthropologist Dr.
  • 12:10Ernest Becker.
  • 12:12Becker was trying to answer the question,
  • 12:14what makes people act the way they do.
  • 12:17I studied that question from
  • 12:20a historical perspective.
  • 12:21Death was the cultural taboo
  • 12:23of the 20th century,
  • 12:25as six was the cultural
  • 12:27taboo of the 19th century.
  • 12:29My books and exhibitions on postmortem
  • 12:31and medical photography supported
  • 12:33Becker's concern with death anxiety.
  • 12:36How we deal with death is a challenge
  • 12:39many physicians face every day.
  • 12:43John Gardner, novelist and
  • 12:44literary critic, was a friend.
  • 12:46I helped him write his first novel,
  • 12:48The Resurrection,
  • 12:49which integrated death anxiety philosophy.
  • 12:52The book was pulp.
  • 12:53There were only about 50 copies sold,
  • 12:55and I was offered over $20,000 for this
  • 12:58book and the documents I had with it.
  • 13:01About 20 years ago,
  • 13:02when he was very popular.
  • 13:06Here's an interesting image.
  • 13:08People always talk about provenance.
  • 13:10Peter Buxton was the firearms
  • 13:12dealer who convinced me to collect
  • 13:15the Guerra types and photographs.
  • 13:17Here is the South American Indians,
  • 13:20the tumor of a jewel,
  • 13:21which is now at Yale.
  • 13:23And you have him and myself posed in
  • 13:26a picture with another ambrotype,
  • 13:29which is also now at the Yale Collection.
  • 13:32This is the best kofinas you could ever get.
  • 13:34Picture taken in the 70s.
  • 13:36And that small picture in the
  • 13:38center of doctor Alessio Acosta,
  • 13:40who took the daguerreotype,
  • 13:41will be in the Yale collection this year.
  • 13:44And that's a picture of
  • 13:46the person Robert Rubin,
  • 13:47who first helped me get academic
  • 13:49appointments in the history of medicine
  • 13:51and also with my first exhibition.
  • 13:55So during the 70s,
  • 13:57I lectured on the Holocaust.
  • 13:59This is some of the documents
  • 14:00I collected at the time.
  • 14:01The Holocaust was not a popular topic when
  • 14:04it became popular at the end of the 70s,
  • 14:06and Holocaust museums would be informed
  • 14:08it was 30 years past the end of the war.
  • 14:12But this is an example.
  • 14:13The document on the right is part
  • 14:15of a medical license for physicians.
  • 14:18It lists all these subjects
  • 14:20they're allowed to treat.
  • 14:22On the bottom,
  • 14:22it lists what they're not
  • 14:23allowed to treat it.
  • 14:24It's against the law to treat syphilis,
  • 14:27gonorrhea or make serums.
  • 14:29The document on the left is as
  • 14:32you could see if you could see the
  • 14:35underlying writing was issued by the Gestapo.
  • 14:38It was issued to a Viennese
  • 14:40physician so that he can go to the
  • 14:43hospital and not have to and not
  • 14:45be stopped to wash streets,
  • 14:47which was very popular at the time.
  • 14:50Anyway,
  • 14:51this is part of my Holocaust
  • 14:55document collection.
  • 14:56I originally collected books.
  • 14:57I then collected firearms
  • 14:59and let me tell you,
  • 15:00there is nothing that sells faster than
  • 15:03an antique firearm in this country.
  • 15:06And so when I started to collect photographs,
  • 15:09I sold my collection and I had
  • 15:11over 400 really rare guns.
  • 15:13It was again a window opportunities
  • 15:15in in the early 60s.
  • 15:16I've always taken advantage of
  • 15:18that window of opportunity to
  • 15:21collect historic topics.
  • 15:22I began as you heard,
  • 15:24collecting photographs in 75.
  • 15:26And in 77 started my interest in
  • 15:31sharing my archive by publications.
  • 15:35This is the first journal cover
  • 15:37I did November of 77.
  • 15:39I had written three articles
  • 15:40before this and had presented it
  • 15:42a couple of medical meetings.
  • 15:46This is 1978, only three years
  • 15:48after I started my collection.
  • 15:50My collection was recognized by time life
  • 15:52because of the exhibits and lectures as
  • 15:54the best emerging collection as you can
  • 15:56see the first sentence there are few
  • 15:58collectibles have gone from trash to
  • 16:00treasure and as abruptly as old photographs.
  • 16:04But that is a long time ago.
  • 16:08My first major exhibition
  • 16:09I had 1000 photographs.
  • 16:11I called it 1000 words and my first major.
  • 16:15Lecture. I then started writing early
  • 16:20medical photography in America,
  • 16:21which became a classic.
  • 16:23It hasn't been much improved upon.
  • 16:26And those are some of the New
  • 16:28York State Journal covers.
  • 16:31These are some of the offprints
  • 16:34from the early journals.
  • 16:35And which was the most popular ones?
  • 16:37Which was civil war medical photography,
  • 16:39which is a thread that has run through
  • 16:42my collection the last 50 years,
  • 16:44and medical publications with photographs.
  • 16:48My most famous picture,
  • 16:50the breakthrough in medicine and art,
  • 16:53came with Ingrid Sischy,
  • 16:54who was a major editor of the Time,
  • 16:56Publishing my article under her
  • 16:59editorship in Art Form magazine.
  • 17:02And I think all those pictures
  • 17:04are at Yale now.
  • 17:06As you'll see,
  • 17:06I'll show some of the same pictures that
  • 17:08I've published them in different journals.
  • 17:09The point is,
  • 17:10you could look at this picture and I
  • 17:12could talk to about the 222 doctors
  • 17:14learning professionalism and how to operate,
  • 17:16or I could use this picture in oncology.
  • 17:18Music magazine and explain how
  • 17:20William Rodman was the leading
  • 17:22breast surgeon of his time before
  • 17:24William Halsted and and.
  • 17:29This was my first exhibit at a medical
  • 17:34convention and this and I actually.
  • 17:37They're preserving the vision of
  • 17:39American medicine became my tagline.
  • 17:44And the bottom picture,
  • 17:45the center picture is of became
  • 17:47curator of the foundation of the
  • 17:49American Academy of Ophthalmology.
  • 17:51In the picture of health was the
  • 17:54first public exhibition of medical
  • 17:56photography in an art gallery,
  • 17:58curated by Marvin Heiferman.
  • 18:00Again, of course, that that famous
  • 18:03picture which is outside here,
  • 18:04so you could look at it as you as you go,
  • 18:08as are all those other pictures.
  • 18:10Yale has all these pictures.
  • 18:14This is really the first medical humanities
  • 18:18exhibition done here in Connecticut.
  • 18:21And this is was 1985 and you could
  • 18:23look at my really primitive, you know,
  • 18:26pasted together list of photographs,
  • 18:29but 1985? Long time ago.
  • 18:35My greatest accomplishment in the 80s,
  • 18:38something where my medical journals,
  • 18:42Bristol Laboratories,
  • 18:43underwrote a series of journals that I
  • 18:47produced about four to six times a year,
  • 18:51and they contained C22 issues,
  • 18:53were made with 177 articles.
  • 18:56These were they were between 28
  • 19:00and 32,000 copies per issue,
  • 19:02and they were sent to doctors in various.
  • 19:05Professions first.
  • 19:07Otolaryngology, ophthalmology,
  • 19:08general surgery.
  • 19:14This is where medicine became true art.
  • 19:17When Joel Peter Witkin.
  • 19:19Wanted to establish a book on the
  • 19:22human body and came to my collection
  • 19:26after conferring with the Washington,
  • 19:28DC experts that I had the pictures,
  • 19:32I had the originals.
  • 19:33And actually that's a picture of Joel
  • 19:35and I I'll just tell you a quick story
  • 19:37about that head in his soup plate,
  • 19:38which you'll see the original later.
  • 19:40Joel wanted to do a picture of
  • 19:42the head and the soup plate that
  • 19:44I had was taken in Columbus,
  • 19:46OH, but he couldn't get ahead.
  • 19:48He couldn't get ahead in America.
  • 19:49We went to Mexico.
  • 19:50He couldn't get ahead in Mexico,
  • 19:52but he could get a body.
  • 19:54So he got a body,
  • 19:55drilled a hole in the table,
  • 19:57drilled a hole in the soup
  • 19:59plate and put the head.
  • 20:01And the soup plate.
  • 20:02And this was at an exhibition November 22.
  • 20:07This was really another transition point.
  • 20:10Medical medicine and photography in
  • 20:12the history of photography magazine.
  • 20:14This is the academic magazine in
  • 20:18photographic history and it's about
  • 20:22Joel and I and human body parts.
  • 20:25Now I wasn't only writing my own journal.
  • 20:28Other people came to me from various
  • 20:32magazines and I was writing at the same time.
  • 20:36About 10 journals a month of here you
  • 20:38see the Journal of Otolaryngology.
  • 20:41Just some of the covers,
  • 20:42all of these magazines.
  • 20:44Here I had multiple regular journal
  • 20:46articles with different medical
  • 20:48photographs and I wrote all the
  • 20:51articles I did have some people do
  • 20:54the editing because I am dyslexic.
  • 20:57Oh, the one other thing I should
  • 20:59tell you is where I get my usual
  • 21:01ability with photography from.
  • 21:02I have an A museum I cannot remember.
  • 21:06Words to songs.
  • 21:09So when my daughter has 10,000 songs
  • 21:11in her head and can sing them,
  • 21:13I can only do the first line of three songs.
  • 21:16The rest of my head is filled with
  • 21:18these photographs and that's why
  • 21:20I can put into context history.
  • 21:22Angiography.
  • 21:25Of course, by 1990 came around,
  • 21:27we started working with Ken Burns
  • 21:29with civil war material and this
  • 21:32is just an unusual album that
  • 21:34was kept at here with hospital.
  • 21:36Showing some of the photographs,
  • 21:38we also redid it in 2012 with
  • 21:40the Republic of suffering,
  • 21:41when they upped the number
  • 21:43of people killed in the civil
  • 21:45war from 750,000 to 850,000.
  • 21:52Europe was a favorite playground
  • 21:54for medical photography,
  • 21:55and here's an exhibition we
  • 21:57had at Velvet in Switzerland.
  • 22:01And that's where.
  • 22:02Was a great experience.
  • 22:04I also covered other fields.
  • 22:06So in 1990 I did.
  • 22:07The American dentist and I have a large
  • 22:09collection of early dental photography.
  • 22:11If you go outside,
  • 22:12you'll see one of those dental photographs,
  • 22:14and I think it appeared in this book.
  • 22:17The face of mercy was a book.
  • 22:19I think Cheryl knew and did the text.
  • 22:21I did the photographic history
  • 22:23and it's just medicine at war.
  • 22:26I have photographic pictures
  • 22:28of physicians at war since
  • 22:30the Crimean War in 1856.
  • 22:35This was the breakthrough book of
  • 22:38my Career in memorial photography,
  • 22:40as you can see, made the front page
  • 22:43of the New York Times Book Review and
  • 22:46since 1990 we have had a minimum of 1
  • 22:50exhibition a year on memorial photography.
  • 22:54I just. And this was they had hired
  • 22:57John Updike to write about the book.
  • 22:59This was, of course,
  • 23:00a year later in American heritage,
  • 23:02and I think it was John Snow,
  • 23:03who was the editor, wrote an article about
  • 23:06my contribution to American culture.
  • 23:08With reintroducing.
  • 23:11Memorial photography I worked several
  • 23:15years on creating this documentary.
  • 23:18Sorry, but the bottom is missing.
  • 23:19It should say death in America.
  • 23:22I'll get to my IT people later.
  • 23:26But I went to awards and this
  • 23:29film was used in high schools
  • 23:32and colleges for about a decade.
  • 23:35These are just some articles in magazines
  • 23:38that I had worked on this special issue.
  • 23:42The new image in the nude image in medical
  • 23:44photography is a particularly hot topic.
  • 23:46I mean, if you look through
  • 23:48the history of photography,
  • 23:49you see in the 1840s, eighteen 70s,
  • 23:51it was a whole body's picture.
  • 23:53It was a holistic view.
  • 23:54I, as I lectured on you,
  • 23:56saw the entire person naked even though they
  • 23:59had a lesion in the head or or fully dressed.
  • 24:03And so.
  • 24:05And I want to also want to remind
  • 24:08everyone I was a ophthalmologist.
  • 24:10I practice a good eight hour day,
  • 24:12six days a week.
  • 24:13I didn't have to sleep.
  • 24:14That's why all this work got done.
  • 24:17And I took out a picture of what I did,
  • 24:19emergency work,
  • 24:20the US Coast Guard back in the 60s.
  • 24:22So I always loved emergencies
  • 24:24because I lived where I worked.
  • 24:27I had no clock so I could see
  • 24:29patients at 2:00 in the morning.
  • 24:31I got to see a lot of actors,
  • 24:34actresses, hip hop stars.
  • 24:35You know who would call me at all
  • 24:37hours of the day, at all weekends.
  • 24:39My kids will tell you that.
  • 24:41But I wrote every day,
  • 24:42usually between 11:00 PM
  • 24:44and 3:00 AM or 4:00 AM.
  • 24:49Here is a photograph teaching
  • 24:52medical humanities at the archive.
  • 24:54So we've had students from NYU,
  • 24:56others medical schools and colleges
  • 24:59come to the archive where we do focused.
  • 25:02Discussions.
  • 25:04Now, as was mentioned during the
  • 25:061990s when they did this sort of thing,
  • 25:09my photograph collection.
  • 25:11Historic photograph collection was
  • 25:12rated best in the United States.
  • 25:15Not art photography.
  • 25:16Don't ask me about a famous photographer.
  • 25:19If you could find the photograph
  • 25:20somewhere else, I don't want it.
  • 25:22I only need photographs and use photographs
  • 25:25that are unavailable in other institutions.
  • 25:28Almost everyone else on the list,
  • 25:30it was a billionaire.
  • 25:32By 1995 it was historic
  • 25:34photography and Judaica,
  • 25:35because I continued to collect
  • 25:38photography in the Judaica field.
  • 25:41Some people say this is my greatest
  • 25:44contribution to the history of art.
  • 25:45William Rubin, director,
  • 25:47curator of modern art at the
  • 25:50New York Museum of Modern Art,
  • 25:52came to me and said that Picasso did
  • 25:55not get his ideas from African masks.
  • 25:58Picasso got his ideas from the destruction of
  • 26:01faces he had seen in the lazaretto in Paris,
  • 26:05in Spain.
  • 26:08And so we did this book the damage.
  • 26:10Elzey Ave.
  • 26:11And it's just an interesting aspect
  • 26:13because a lot of people didn't believe it.
  • 26:16And when William Rubin used to ask Picasso.
  • 26:19Did your ideas come from syphilitic
  • 26:22patients or African mask?
  • 26:24He said.
  • 26:26Would you rather have it something
  • 26:28like from diseased women or
  • 26:31from the tradition of art?
  • 26:33Anyway,
  • 26:33there is my one attachment to Picasso
  • 26:35with a picture of French orange
  • 26:38Jello who bore his two children.
  • 26:40She's still alive and well
  • 26:41and living in New York.
  • 26:46Mornings work came out in 1998.
  • 26:49There was another of my
  • 26:51noted medical books, crime.
  • 26:53My greatest areas of collecting
  • 26:56are medical photography,
  • 26:58crime photography, Judaic photography,
  • 27:01African-American photography,
  • 27:02and of course, medical photography.
  • 27:05So these are my books on crime and forensics.
  • 27:10Just some of my lectures at various places.
  • 27:13My what everyone says was my favorite
  • 27:16lectures at time is the maladies.
  • 27:18They made the creation of female genital
  • 27:21disease by physicians and that was
  • 27:24given to OB GYN incoming residents.
  • 27:31This is Sleeping Beauty too.
  • 27:32What about great exhibitions
  • 27:34because it was at the Musee Dorsay.
  • 27:36One Side Story I think I have time for.
  • 27:39They have their major exhibitions
  • 27:41in the afternoon, the reason why
  • 27:42they invited all the other curators,
  • 27:44and when I asked the head of of cultural.
  • 27:49There is in in France and he said,
  • 27:50well, if we happen in the evening,
  • 27:52then it's on their time.
  • 27:54If we have it in the afternoon,
  • 27:56it's on the government's time.
  • 27:57So it was a great exhibit.
  • 27:59These are some of the exhibits
  • 28:02which I participated in and
  • 28:04created sleeping beauties,
  • 28:05memorial photography, the dental exhibit,
  • 28:08war photography and deadly
  • 28:09medicine was about the Nazis.
  • 28:11In 2003 I began my 4 volume series
  • 28:15of medical texts and here they are.
  • 28:18This is. Respiratory disease oncology.
  • 28:22With every one of these texts
  • 28:25there was always an exhibition.
  • 28:28Dermatology.
  • 28:31Patients in promise,
  • 28:32which was an Eli Lilly company.
  • 28:34It was very difficult to get the the legal.
  • 28:38Over to be able to produce a book like this,
  • 28:41but a lot of fun nephrology for Roche.
  • 28:44And one of the things I don't have
  • 28:46here in 1986 I created a movie for
  • 28:49Roche called Prelude to anesthesia.
  • 28:53Ophthalmology text.
  • 28:56This was a series of
  • 28:57articles I wrote for scope,
  • 28:58which was an Irish surgical journal
  • 29:00based on my Irish surgical photographs.
  • 29:03And as you can see those pictures
  • 29:06on the upper part on the right,
  • 29:09very interesting pictures of patients.
  • 29:12Totally dressed with their disease.
  • 29:14Now I just had to show you I
  • 29:15created several pages of this.
  • 29:16I removed it because it's literally boring.
  • 29:19Several pages of the journals
  • 29:21that I had done. Again,
  • 29:23this was the Metropolitan Museum of Art.
  • 29:26This was Mercy St.
  • 29:28we went to our civil war material
  • 29:30and of course I did the nick.
  • 29:32I want you all to see the nick.
  • 29:34And then you'll see what
  • 29:36medical history was was like,
  • 29:38I don't know if I could hit that list,
  • 29:40but I'll just go on.
  • 29:41This was the nick where I was on set.
  • 29:44These are some of the films I did.
  • 29:47The city of Bologna invited US and
  • 29:49I gave a lecture at the Ignazio,
  • 29:52which was the original amphitheater
  • 29:55in Bologna.
  • 29:56Another medical book, my last one, 2017.
  • 30:01Was on mentioned.
  • 30:02Now all of these pictures are at Yale.
  • 30:05And this was our our book
  • 30:07Stiff skulls and skeletons.
  • 30:09I would only like to say is most people
  • 30:13know me as a history of medicine person.
  • 30:15They know me for my
  • 30:17giving my collection here.
  • 30:19But some of my friends said I would
  • 30:21be best be known by 1,000,000 as
  • 30:24a gastroenterologist because I
  • 30:27did the colonoscopy on Anthony
  • 30:30Fat Tony Salerno in the Irishman.
  • 30:34And these are the people that helped me.
  • 30:37Thank you. I'm available for questions later.
  • 30:43Thank you. Thank you.
  • 30:47These are just like these are just my
  • 30:49future books that we're working on.
  • 31:31Hi everyone. Um, so?
  • 31:33As I mentioned in the introduction,
  • 31:37I am a historian and a former
  • 31:39curator of photography.
  • 31:45Umm. With a special interest in early
  • 31:49photography and its intersections
  • 31:51with the history of science.
  • 31:52I'm not a specialist in medical photography,
  • 31:56but for many years I have found it
  • 31:58extremely fruitful and generative
  • 31:59to teach with medical photographs,
  • 32:01primarily in the medical history
  • 32:03library here, mostly depending upon the
  • 32:06incredible expertise of Melissa graph,
  • 32:09and recently with objects in the Burns
  • 32:11collection after they arrived there.
  • 32:13And so I've been teaching
  • 32:15with medical photographs for.
  • 32:16Seven or eight years now?
  • 32:19To undergraduate and graduate students at
  • 32:20Yale in History of Science and Medicine,
  • 32:23but also to students from across the
  • 32:24humanities and social sciences and a
  • 32:26couple of medical students who found
  • 32:28their way to my classes as well.
  • 32:29So I wanted to follow on from Stanley's
  • 32:31presentation by reflecting a little
  • 32:33bit with all of you on what it can
  • 32:35mean to think historically and
  • 32:37humanistically about medical photography.
  • 32:39Drawing on my experience working with
  • 32:41these kinds of objects in my teaching,
  • 32:44and drawing on some of the insights
  • 32:46from recent approaches to the
  • 32:48interdisciplinary history of photography.
  • 32:49So now bring my lunch back up.
  • 32:53So these two photographs were taken
  • 32:55just a few years apart from one another,
  • 32:58and they offer two very different
  • 33:01ways of seeing, knowing,
  • 33:03feeling the presence of pathogens,
  • 33:06and grappling with death or its possibility.
  • 33:09So on the one hand, on the left.
  • 33:10Wait, my left? Yeah, everyone's left.
  • 33:15You have a microscopic view of the
  • 33:17blood of a yellow fever victim,
  • 33:19enhanced, as you'll notice by careful
  • 33:21systematic record keeping right?
  • 33:23So you can see the pencil inscriptions or
  • 33:25ink actually inscription indicating the time
  • 33:27passed and the progression of the disease,
  • 33:30the patient case number, and more.
  • 33:32The other on the right,
  • 33:33instead of portrait of a child with smallpox,
  • 33:35their face visible through intense scarring,
  • 33:37their head gently cradled by someone,
  • 33:40perhaps a caregiver.
  • 33:42Where the annotations on the first
  • 33:44tell us really clearly that this
  • 33:45blood sample is from a fatal case,
  • 33:47and the 2nd we have few visual cues
  • 33:49to tell us for sure whether this
  • 33:51young patient is alive or dead.
  • 33:53Whereas the first,
  • 33:53the one on the left,
  • 33:55invites us to see yellow fever as
  • 33:57a virus and microscopic threat,
  • 33:59an impersonal battle occurring
  • 34:00beyond the threshold of visibility,
  • 34:03the second one tugs at our hearts with
  • 34:05its moving portrait of a suffering child.
  • 34:06It invites empathy and sorrow,
  • 34:09and it suggests the possibility of care.
  • 34:12So in my research and my teaching,
  • 34:14I've I've learned to think about
  • 34:16photography as a family of practices
  • 34:18and techniques that have really been
  • 34:19woven into the fabric of knowledge
  • 34:21making and knowledge circulation
  • 34:23in the sciences and in medicine.
  • 34:25And there's so much heterogeneity
  • 34:27across those fields.
  • 34:28Within medicine specifically,
  • 34:30there's different ways of observing and
  • 34:32describing and knowing and engaging body,
  • 34:34different ways of communicating
  • 34:36and acting on that knowledge.
  • 34:39It has never been one way of
  • 34:41seeing across medical practice,
  • 34:42and there's no photograph that
  • 34:44commands a single reading simply
  • 34:46by virtue of being medical or
  • 34:48being about medicine in some way.
  • 34:50The medical photograph has always
  • 34:52been a contingent historical category
  • 34:54of a fuzzy and indistinct one,
  • 34:56and no medical photograph is
  • 34:58just a medical photograph.
  • 34:59So many of the photographs in the exhibition
  • 35:01today are many other kinds of image as well,
  • 35:03right?
  • 35:03Like some of them might be
  • 35:05memorial objects or souvenirs,
  • 35:06presentations of the self press photographs.
  • 35:09They might invoke or undermine ideas
  • 35:11about gender or racial difference,
  • 35:13about disability and health,
  • 35:14about what it means to be human.
  • 35:17And more.
  • 35:17And so I see the burns collection,
  • 35:20with its rich documentation
  • 35:21of medical practice,
  • 35:22medical pedagogy,
  • 35:23and historical ways of seeing and
  • 35:25experiencing the body through change,
  • 35:27injury and disease.
  • 35:28I see it as this remarkable opportunity
  • 35:30to think not just about medicine,
  • 35:32but to explore it,
  • 35:34to to explore and probe the interfaces
  • 35:36between medicine and other kinds
  • 35:38of social and cultural experience.
  • 35:41And so.
  • 35:44I think looking at photographs from
  • 35:46the 19th and early 20th century,
  • 35:47such as the ones in this exhibition,
  • 35:49are also an opportunity to to try and
  • 35:52acknowledge and then think across the
  • 35:54Gulf that lies between our experiences
  • 35:56of these images now in the 21st century,
  • 35:59and how viewers and users and
  • 36:01medical practitioners would have
  • 36:03engaged with them in the past.
  • 36:05And so I don't simply mean like,
  • 36:06how would you know,
  • 36:07past people have looked at these photographs.
  • 36:10What would they see in them?
  • 36:10I want to kind of push beyond the image,
  • 36:13beyond the picture itself.
  • 36:15How would they experience them?
  • 36:18What you and I see when we look at
  • 36:20pictures like these is radically different
  • 36:22from those past historical experiences.
  • 36:24So we all know, right?
  • 36:25Like each of you is probably
  • 36:26carrying like 2 cameras with you
  • 36:28right now in some device or other.
  • 36:29It's such a photography.
  • 36:30It's such a part of the fabric of
  • 36:33our everyday visual experience.
  • 36:34We're intensely familiar with photography
  • 36:36as a technology for making pictures,
  • 36:38and we're accustomed to seeing
  • 36:40photographic images reproduced in
  • 36:42a variety of formats and media.
  • 36:44We live in the confidence that
  • 36:46we can almost literally pull out
  • 36:47any image anywhere on the screen.
  • 36:49Whatever device is closest to hand.
  • 36:51Sometimes we consume photographs
  • 36:53without even thinking about the fact
  • 36:54that we're looking at photographs.
  • 36:56We kind of we think that we're looking
  • 36:57through them at something that's
  • 36:59something that we're seeing directly,
  • 37:00this original thing.
  • 37:02In those moments,
  • 37:03we see the photograph as a almost
  • 37:05like a transparent window,
  • 37:06a window on a historical moment,
  • 37:08or on someone's past experience,
  • 37:10a fleeting moment that was somehow captured
  • 37:13by photography before it vanished forever.
  • 37:15So these are some of the unspoken
  • 37:17assumptions that I think many of
  • 37:19us might bring instinctively to
  • 37:20looking at an exhibition like the one
  • 37:22that we're kind of marking today.
  • 37:24And there are historical reasons
  • 37:26for how this came to be,
  • 37:27how people, not not everyone,
  • 37:29not all the time,
  • 37:30but how many people came to look at
  • 37:32photographs as something to look through.
  • 37:33But today,
  • 37:34with all of these incredible 19th century
  • 37:37images on view just outside these doors,
  • 37:39I want to remind you that this was not
  • 37:41at all true of 19th century viewers.
  • 37:45The people who made and used
  • 37:46and participated in most of the
  • 37:48photographs in this exhibition.
  • 37:49When they looked at a photograph
  • 37:51of a person of a scene of a
  • 37:54microscopic view of a virus,
  • 37:56they were intensely aware that
  • 37:57they were looking at a photograph
  • 37:59at a thing called a photograph.
  • 38:01They engage with photographs,
  • 38:02not just his images,
  • 38:03but as three-dimensional material objects.
  • 38:07They experience them as things with volume,
  • 38:09with weight, with opacity,
  • 38:11with tactility, fragility,
  • 38:12a kind of the kind of physical
  • 38:15presence in the world.
  • 38:16And those things mattered for what
  • 38:18the photograph meant to them.
  • 38:22This awareness of the materiality
  • 38:24of of early photographs is it's
  • 38:26unavoidable when you when you
  • 38:28encounter objects like this
  • 38:30daguerreotype which is on view outside.
  • 38:33I think we've seen it on screen
  • 38:34a couple of minutes ago before.
  • 38:35This is a postmortem photograph
  • 38:37of physician who who died of
  • 38:39cholera in Saint Louis in 1849.
  • 38:43I'm assuming that not everyone
  • 38:44here is a photo historian,
  • 38:46so I'm also just going to briefly
  • 38:47describe what a daguerreotype is,
  • 38:48in case that might be helpful in thinking
  • 38:50about the materiality of this object.
  • 38:52Right. So at daycare type is a photograph
  • 38:55of physical photograph on a copper plate.
  • 38:57So it's a piece of metal covered with a
  • 38:59layer of finely polished silver in which
  • 39:01the image is suspended simultaneously,
  • 39:04a negative and a positive image.
  • 39:08So to really see the portrait of
  • 39:09this man in death, the image has
  • 39:11to be maneuvered at an angle.
  • 39:14So that you're you're kind of your
  • 39:15eye and your hand and the object
  • 39:17have to work together as one to get
  • 39:18to the place where you can see it.
  • 39:20Now it's been masterfully displayed
  • 39:21out there with like very careful and
  • 39:24precise lighting and I know how hard
  • 39:26it is kind of curatorial to make that
  • 39:27happen so that you can look at it and
  • 39:29see it as an image that's easy to see
  • 39:31but that's not really what they're like.
  • 39:33In fact the you know
  • 39:34there's they're so fragile,
  • 39:35they're so gem like and you have
  • 39:38to hold them to to understand them
  • 39:40and to feel what they're about.
  • 39:42The surface of these objects
  • 39:44is so fragile and vulnerable,
  • 39:45not just to the touch from our fingers,
  • 39:47but to the very air around them,
  • 39:49which is why so many daguerreotypes
  • 39:51were housed and housed in cases
  • 39:53like like this one.
  • 39:54So the kind of leather case,
  • 39:55the think it's velvet lining.
  • 39:58So you've got these these tiny
  • 40:00little photographs with they're
  • 40:01flickering reflective surfaces.
  • 40:03They're crisp and intricate detail,
  • 40:05their uniqueness,
  • 40:05they're unreproducible ability
  • 40:06because you can only,
  • 40:08you can't make multiples from it,
  • 40:09you can just rephotograph it.
  • 40:12And their packaging in these tiny cases,
  • 40:14all of these features make them into this,
  • 40:17this kind of treasure like object, right?
  • 40:19And in fact,
  • 40:20most dangerous type portraits were
  • 40:21treated like gems and keepsakes,
  • 40:23not like pictures that you'd hang on
  • 40:25the wall or that you'd print in a book.
  • 40:27These are,
  • 40:28you know,
  • 40:29these are objects that are bearers
  • 40:30of memory and love.
  • 40:31And this is expressed really beautifully
  • 40:33in the newspaper obituary that someone
  • 40:36who cared very much about this person
  • 40:38carefully preserved inside the case,
  • 40:40facing the image.
  • 40:43And there are many objects in this
  • 40:45exhibition that likewise call our attention
  • 40:48to the physicality of photographs,
  • 40:50to their the way that their physical
  • 40:53format shaped their meaning.
  • 40:54Using a medical photograph often involved
  • 40:57some sort of embodied relationship to it.
  • 41:00Um,
  • 41:00and medical photographs can also
  • 41:02be a portal through which we can
  • 41:04consider physical and embodied
  • 41:06aspects of material practice itself.
  • 41:08So this example from Howard Kelly's
  • 41:111911 stereo clinic used pairs
  • 41:13of stereoscopic images combined
  • 41:15with an optical viewing device to
  • 41:18create an immersive 3D experience
  • 41:20of surgery for the user,
  • 41:22presumably a surgeon or a surgical student.
  • 41:26So seeing these images, so you know you,
  • 41:29you place the card in the holder,
  • 41:31you look through the device
  • 41:32you have to have your eye at,
  • 41:33you know,
  • 41:33in the right position.
  • 41:34You've got to be able to focus and
  • 41:36unfocus your eyes in just the right way.
  • 41:37You might get a headache.
  • 41:38It causes quite a lot of eye strain,
  • 41:40like these things demand a lot
  • 41:42of your body and especially
  • 41:44of your eyes and your mind.
  • 41:46They they produce mental fatigue
  • 41:47as well as physical fatigue.
  • 41:48In my at least in my experience now
  • 41:50I'm just being autobiographical.
  • 41:54And they require the user to be constantly
  • 41:56aware of their own position in relation to
  • 41:59the instrument and in relation to the image.
  • 42:01But for all of that kind of physical effort.
  • 42:04They allowed the user to have this
  • 42:06experience of stopping time in the
  • 42:08crucial moment of a surgical procedure,
  • 42:10and then closely at leisure along time,
  • 42:13examine like that most crucial moment,
  • 42:16and to do so far away from the hurried
  • 42:18and chaotic space of the operating room
  • 42:20and the many obstacles to visibility
  • 42:23and understanding that might be there.
  • 42:25So this pedagogical set of stereo images.
  • 42:30Speaks to us about how visual technology
  • 42:33was mobilized to reform medical
  • 42:35education in early 20th century.
  • 42:37And it kind of tells us a little bit
  • 42:39about what what the vision of medical
  • 42:42teaching was right that you needed to be
  • 42:45able to look long and slow and observe
  • 42:48lots of detail in ways that the surgical
  • 42:51theater might not necessarily allow.
  • 42:53So these photographs are images, sure,
  • 42:55but they're also physical objects that
  • 42:57exist in social and cultural experience,
  • 43:00in physical experience,
  • 43:01material kind of embodied experience.
  • 43:03And one of the things I find exciting
  • 43:05about this exhibition is the opportunity
  • 43:07to experience this and reflect upon it.
  • 43:09Unfortunately,
  • 43:09you can't put your eyes up to the viewer in
  • 43:12the exhibition and have that 3D experience,
  • 43:14but you can kind of, you know,
  • 43:16see what the viewer looks like,
  • 43:17imagine holding it in your hand.
  • 43:21Umm.
  • 43:26There's a truism about photography that it
  • 43:29faithfully records everything that we see.
  • 43:32And that's. That's a statement about
  • 43:34photography that was made more or
  • 43:36less from the moment the medium was
  • 43:37invented in the early 19th century.
  • 43:39But paired with that is another truism that
  • 43:41came almost immediately right afterward,
  • 43:44which is that photography allows
  • 43:45us to supersede vision,
  • 43:47to go beyond the limits of human perception,
  • 43:49to bring other things into view
  • 43:51that we couldn't see before.
  • 43:52And medical photographs are a really
  • 43:55interesting genre for exploring this
  • 43:57tension between different models of how to
  • 44:00know through seeing different epistemic
  • 44:02values for photography in medicine,
  • 44:04because of the profound aesthetic
  • 44:06and ethical issues that arise
  • 44:08from these two possibilities.
  • 44:10So some of the images in the exhibition
  • 44:12invite us to see medical observation
  • 44:14as focused on the visible recording and
  • 44:17rich and precise detail the exterior
  • 44:19presentation of some interior condition,
  • 44:21so on the skin or in the posture.
  • 44:25While others,
  • 44:26such as X-ray images on the left suggest
  • 44:28the importance of going beyond the surface,
  • 44:31so seeing through the soft tissues
  • 44:33of the body into the conditions of
  • 44:36those invisible interior structures.
  • 44:38Or if we go back.
  • 44:40To the microscopic views of blood during a
  • 44:43case of yellow fever that I started with.
  • 44:47Some images might insist on the
  • 44:48importance of a different kind
  • 44:50of observation that is serial,
  • 44:51so it happens over time,
  • 44:52through a sequence of images,
  • 44:55through a kind of sequence of moments
  • 44:57and kind of piercing together.
  • 44:58That temporal development of something is
  • 45:01a key aspect of expert medical observation.
  • 45:05In images like these and so I
  • 45:06don't know if you can read in the
  • 45:09inscription like the first one says.
  • 45:11On the right hand side of the
  • 45:12inscription it says first day and
  • 45:13in this one it says fifth day.
  • 45:19So I said earlier the aesthetics and
  • 45:21ethics of these medical portraits and
  • 45:22these are related to each other and it's
  • 45:24worth reflecting on them a little bit.
  • 45:26And by the way, I'm I'm calling
  • 45:28these portraits and you might think
  • 45:29that that's the wrong word for
  • 45:31the images that I'm showing here.
  • 45:32But going back to what I said earlier
  • 45:34about the importance of material
  • 45:36form to photographic meaning,
  • 45:37I just want to point out that these
  • 45:41photographs are printed or sorry are pasted
  • 45:44onto cardboard mount called a cabinet.
  • 45:46Card, which is a format for presenting
  • 45:48photographs that was primarily used for
  • 45:50the exchange and circulation of portraits,
  • 45:52and there are actually many examples of it
  • 45:54out on view in some of the patient portraits.
  • 45:58Right now. So we can consider
  • 46:01the way that even specialized
  • 46:03medical photography has drawn on,
  • 46:04but also diverged from the visual conventions
  • 46:08of the 19th century bourgeois portrait.
  • 46:11We can attend to the issues that they
  • 46:14raise around privacy and voyeurism,
  • 46:16given the intimacy of access
  • 46:18to so many bodies that we are
  • 46:20offered on screen here today,
  • 46:22outside in the exhibition and
  • 46:23in the collection as a whole.
  • 46:26Through all of these images,
  • 46:27but usually often most often without
  • 46:30any clear indication of patient consent.
  • 46:34We can attend to the ways that these
  • 46:36images might be seen to dehumanize or
  • 46:38objectify or reduce people to body parts,
  • 46:40but they also might be seen to
  • 46:42to affirm the humanity and the
  • 46:44individuality of their subjects.
  • 46:51These images also, I think,
  • 46:52raise important questions about power,
  • 46:55representation and the photographic
  • 46:56encounter in the clinic or the studio.
  • 46:59So every photograph in the Burns collection,
  • 47:02no matter how seemingly kind of
  • 47:04impersonal and kind of expertly medical,
  • 47:07is in some way a trace of a social encounter.
  • 47:10And it's important not to forget.
  • 47:12That we can imagine outward,
  • 47:14beyond what is directly visible in
  • 47:16the image to things and people and
  • 47:19interactions that we know must have been
  • 47:21there for that photograph to exist at all.
  • 47:23Such as the presence of a
  • 47:25photographer in the room.
  • 47:27Sometimes this may have been a physician,
  • 47:28or a lab technician,
  • 47:30or some other person associated
  • 47:31with the medical setting.
  • 47:33But more often than not it was
  • 47:35a professional photographer who
  • 47:36had learned to adapt their studio
  • 47:38portraiture skills for a new client.
  • 47:39And of course, the client is the
  • 47:41medical institution or physician,
  • 47:42not the patient.
  • 47:46We can also think outwards toward the
  • 47:48setting in which the photograph was taken,
  • 47:50which sometimes may have been
  • 47:51in the clinic or the hospital,
  • 47:53or in a makeshift studio
  • 47:54attached to the clinic,
  • 47:55or in an operating theater where
  • 47:57lines of sight and privileged
  • 47:58positions of maximal visibility
  • 48:00were carefully controlled.
  • 48:05Had some intentions that I changed
  • 48:06my mind about this afternoon.
  • 48:09So in whatever physical and
  • 48:12cultural space of encounter
  • 48:13medical photographs were made,
  • 48:16we can be sure that complex relationships
  • 48:18were unfolding in that space,
  • 48:20relations of power and agency,
  • 48:22of exploitation and profit,
  • 48:24but also of care and healing.
  • 48:27Medical photographs are
  • 48:28always an opportunity,
  • 48:29not just for close looking at the image,
  • 48:31but for refocusing beyond the image
  • 48:33on the social and material practices
  • 48:35through which they were made.
  • 48:37Thank you.
  • 48:54So I recognize we have a few
  • 48:56minutes left for questions.
  • 48:58My plan was to ask maybe one
  • 49:00question of both Chitra and Stanley.
  • 49:03I'll just because that's who I call you,
  • 49:04what I call you and then to go from there.
  • 49:08But I wanted to also make sure
  • 49:10that we had opportunity for,
  • 49:11for our audience to ask questions.
  • 49:14Does anyone have a question
  • 49:15that they'd like to ask?
  • 49:18OK. I think Karen are we have the microphone?
  • 49:22And right behind you then, because
  • 49:23you have individuals right behind.
  • 49:27Doctor Burns, do you digitize your
  • 49:29photographs prior to publication,
  • 49:31or are you working with analog
  • 49:33versions that are photographed?
  • 49:36Come up here, yeah, please.
  • 49:38OK.
  • 49:44That's the only time we digitize
  • 49:46them is before publication.
  • 49:50Otherwise it's way too much work and
  • 49:51we don't know what someone wants.
  • 49:53You know someone will make a request.
  • 49:55You I want to picture of a sailor
  • 49:57and World War One or World War 2.
  • 49:59Excuse me, wearing sneakers which I did find.
  • 50:02So usually photographic requests are
  • 50:04very specific and they're not digitized.
  • 50:07That's why I'm happy they're here.
  • 50:10And for our colleagues on Zoom,
  • 50:12please feel free to put your
  • 50:13questions in the chat. Thank you.
  • 50:14We'll take another question
  • 50:15from the audience. Deborah.
  • 50:19Thank you. Thank you both
  • 50:21for this great evening.
  • 50:23Doctor Burns, I've had the pleasure
  • 50:25to work with your collections and I'm
  • 50:28really appreciative that they're here.
  • 50:30I wanted to ask you a little bit about
  • 50:33where you got some of these images,
  • 50:35you know, where do you,
  • 50:36where do you find them and
  • 50:37how do you acquire them?
  • 50:40I removed that part of my lecture.
  • 50:41I had several slides showing you the
  • 50:45ever Brimfield antique shows auctions.
  • 50:49Around the world,
  • 50:49I showed you a picture of Pete Boxton.
  • 50:51Pete Boxing was my point man.
  • 50:53He lived in California.
  • 50:54And so he was the man who got
  • 50:57me calling up another slot.
  • 51:01Photographs as you just saw,
  • 51:03which is the best form of
  • 51:04provenance you could ever get,
  • 51:06and so I did take often pictures
  • 51:09of myself getting the photographs.
  • 51:11Was
  • 51:12wise to think ahead. Thank you.
  • 51:19We have another question.
  • 51:20Let me ask a question actually
  • 51:23for both Chitra and Stanley.
  • 51:24How does Middlefield medical
  • 51:26photography help you reflect on
  • 51:28your own research or clinical work?
  • 51:33That's a that's a bigger question,
  • 51:35but yeah, I'd love to hear you.
  • 51:38Ophthalmologists are.
  • 51:41Focused on detail.
  • 51:43And so photography is an important
  • 51:45part of ophthalmology as it is
  • 51:48in radiology and in dermatology.
  • 51:50So and and sharing information.
  • 51:54When you have unusual cases.
  • 52:01Yeah. So I mentioned earlier that whoops,
  • 52:02that medical photography wasn't it wasn't
  • 52:05and isn't my kind of research specialty.
  • 52:08And so I I was trained in history
  • 52:10of science focusing on the history
  • 52:12of the physical sciences and and and
  • 52:15came to photography thinking about.
  • 52:17The kind of intersection of photography and
  • 52:21and physics and astronomy and chemistry.
  • 52:24And I think that when I started
  • 52:26kind of broadening out from my kind
  • 52:29of narrow research topic,
  • 52:30the kind of thing that you are supposed
  • 52:32to do as a graduate student and try to
  • 52:34think more broadly about the place of
  • 52:36photography in kind of like broader
  • 52:38fields of knowledge about the natural
  • 52:41and the human world and body. Kind of.
  • 52:45It really helped me understand.
  • 52:49I guess a key element of kind,
  • 52:51because there's often a kind of
  • 52:53triumphalist story about photography that,
  • 52:54you know, before we couldn't see in
  • 52:56this way or we couldn't capture the
  • 52:57sort of image and then a certain kind
  • 52:59of technical advance was made and
  • 53:00then we were finally able to do it.
  • 53:02And what I what I've come to understand
  • 53:05through research and history of science
  • 53:06and history of medicine on photography
  • 53:08is how kind of contingent to the
  • 53:10specific subcultures of knowledge
  • 53:11the take up of photography is.
  • 53:13So Stanley mentioned kind of the
  • 53:15need to kind of observe and record
  • 53:17intense detail as being a key.
  • 53:19Kind of use for photography in his practice.
  • 53:22And I think that's something that we see
  • 53:24from the history of medical photography
  • 53:25that in you know depending on whether
  • 53:27your clinical practice is about observing,
  • 53:29observing minute detail or
  • 53:32tracking change over time,
  • 53:34certain aspects of the medium and the things
  • 53:36that it allows become useful to you are not.
  • 53:39And so the kind of uneven take up in
  • 53:41different kind of fields of medicine
  • 53:43and in different fields of science
  • 53:45I think really comes down to that.
  • 53:47Yeah.
  • 53:50Oh, we have another question,
  • 53:51another question. Thanks.
  • 53:56OK. Let's go ahead. So umm.
  • 54:05From one.
  • 54:09I'm not sure this is particularly
  • 54:11a question, but I'll.
  • 54:12I'll give it to Doctor Burns's
  • 54:15photographs in your waiting room.
  • 54:17Doctor burns.
  • 54:21And just mentioning that you would.
  • 54:28You know, you know, you were often
  • 54:31responding to medical emergencies 24/7,
  • 54:33so these photographs patients would come
  • 54:34in and see the photographs as they came
  • 54:36into the waiting room, correct? Yes.
  • 54:40The photograph that we all talk about was
  • 54:43I had a picture of because my waiting
  • 54:45room had a wide variety of photographs.
  • 54:48They were or they weren't all medical.
  • 54:51They were the history of photography.
  • 54:53One of the pictures I had
  • 54:56was taken on August 26th,
  • 54:581944 when the Americans came into Paris,
  • 55:02or maybe in the 25th, sorry.
  • 55:04And it was a picture of the tanks rolling
  • 55:07into plastic concord Nazi snipers had
  • 55:09hidden away and they were shooting.
  • 55:12At the people and one of my patients
  • 55:16got hysterical about it because
  • 55:18he was in the mob.
  • 55:20That they were shooting at and he had never,
  • 55:23of course, seen the picture.
  • 55:24And you never know when you're out in the
  • 55:27public when the picture is being taken.
  • 55:29And here you know he had seen this
  • 55:31picture and he couldn't identify himself,
  • 55:34but he knew some of the other people
  • 55:36that he was standing near in the
  • 55:38mob in Paris in August of 1944.
  • 55:42So I kept my patients in
  • 55:43line. That's what that says, too.
  • 55:47Absolutely. Uh, I think I just
  • 55:49want to ask one final question.
  • 55:52I think for you, Stanley,
  • 55:52actually, as a medical doctor,
  • 55:54what advice would you give to individuals
  • 55:56who are interested in developing
  • 55:58their own collections of materials,
  • 55:59whether it be photographs, books,
  • 56:01or their own personal archives?
  • 56:05There's only one bit of advice,
  • 56:07and very few people take it.
  • 56:10And that is you have to
  • 56:12label your photographs.
  • 56:13You have to say who's in
  • 56:15it and when it was taken.
  • 56:17I have had my career documented since
  • 56:20the 1960s when I was in medical school.
  • 56:22I was a photographic editor
  • 56:24of for our class in journal.
  • 56:27But all my photographs had documented
  • 56:29and so that would that's really a big
  • 56:32deal because the chronology of where,
  • 56:35when, how. Is very,
  • 56:37very important.
  • 56:39And standard. There's one last question.
  • 56:42So it says in the chat, when would
  • 56:45doctor Burns place the end of medical
  • 56:47photography as a collectible product?
  • 56:51I guess yesterday.
  • 56:55I wish the medical school in 1960.
  • 56:58That was sixty years ago.
  • 57:00We don't know in the future of what's
  • 57:02important and what's not important.
  • 57:04Like those great doctors taking
  • 57:06the pictures themselves,
  • 57:07X raying having a picture taken,
  • 57:09X-ray and that kidney.
  • 57:12If you look at it,
  • 57:12you never know also how your
  • 57:14photograph is going to be interpreted.
  • 57:16I'm doing work now on my Holocaust
  • 57:19collection and I have over 100
  • 57:21Nazi soldier private albums.
  • 57:23They were so proud of their work,
  • 57:25but the work is now evidence against them.
  • 57:30Well, then I think I'm going to
  • 57:32wrap up our section here again.
  • 57:34I mean, leave it on that note.
  • 57:35I mean, come on. Anyway,
  • 57:38thank you all for joining us.
  • 57:40Thank you Chitra Stanley for the
  • 57:42wonderful presentations and conversation.
  • 57:44If you have any further questions,
  • 57:45you're welcome to to
  • 57:47speak with us afterwards.
  • 57:48And thank you all for joining us.
  • 57:54Thank you to our zoom crowd too.