Monday, January 16, 2012

Fact of the Day

Fact of the Day : In which year was the medical textbook Gray's Anatomy first published? (from The Oxford Companion to the Body)

Gray, Henry Henry Gray (1827–61) was a London surgeon, who, in 1858, published the first edition of a medical text book entitled Anatomy: descriptive and surgical. In later years — first informally, and, after 1938, formally — the book became known as Gray's Anatomy. It is one of the few medical texts known by name to the general public. Henry Gray was born in Windsor Castle, but lived in Belgravia for most of his life. The family had moved to be closer to Buckingham Palace on the accession of William IV, to whom Gray's father, William, was Deputy Treasurer.

Aged 18 Henry entered St George's Hospital at Hyde Park Corner in Central London, and he qualified as a Member of the Royal College of Surgeons in 1848, the same year in which he won one of the College's triennial essay prizes for an account of the nerves of the human eye. As a student he was known for his diligent attention, especially in anatomical studies, and in particular for performing numerous dissections himself. Gray remained at St George's in House Surgeon positions, and continued his anatomical work, publishing several of his anatomical observations in papers in the Philosophical Transactions of the Royal Society.

In 1852 he was elected a Fellow of the Royal Society. From that time on he devoted himself to anatomy, serving St George's as a demonstrator, later as Lecturer on Anatomy, and as Curator of the Museum. The appearance of his book was timely. Medical education in Britain was being professionalized and formalized — in that same year, 1858, the Medical Act was passed in Britain, creating the General Medical Council (GMC), the regulatory and licensing authority of the medical profession. This epitomized the growing professional status of medicine in Britain, with regulated access and recognized training procedures and courses taking place in properly accredited institutions.

Simultaneously, new scientific approaches to medicine were developing, which were being incorporated into the medical curricula. Gray's book was not the first anatomy textbook — especially since the passing of the Anatomy Act of 1832 (which provided legitimate sources of bodies for dissection), guides and manuals had been produced for medical and surgical students. What distinguished Gray's book was the number and quality of illustrations, and his emphasis on anatomy as the practical basis of surgery.

The premier medical journals of the time, The Lancet and The British Medical Journal, praised its style and content, and the latter's review prophesied that it would become the manual of anatomy. A year after its appearance in Britain, an American edition was produced, and a second edition was produced in London in 1860 — just before the death of its young author, at the age of 34, from smallpox contracted after nursing a nephew.

Gray's loss to anatomy was mourned by many colleagues; one of them, Timothy Holmes, who was a fellow surgeon from St George's, continued to produce new editions of Gray's book up to 1880 (the 9th edition). He in turn was succeeded by another practising surgeon, T. Pickering Pick, and it was not until 1901 (the 15th edition) that a professional anatomist — one who earned his living by teaching and studying anatomy, rather than from surgery — was appointed as editor.

 In 1995 the 38th edition appeared. Continuing the tradition of generous illustrations begun by its eponymous founder, Gray's Anatomy now provides a coherent account of the structure of the human body from the ultra-microscopical to the population level — and anatomy is now presented as a central discipline in the natural sciences, not merely of relevance to the practising surgeon. E.M. Tansey See also anatomy.

 How to cite this entry: E.M. Tansey "Gray, Henry" The Oxford Companion to the Body. Ed. Colin Blakemore and Sheila Jennett. Oxford University Press, 2001. Oxford Reference Online. Oxford University Press. 16 January 2012