Dr. Sarah Stockton: In Love with Her Profession

Dr. Sarah Stockton with male colleagues at the Central State Hospital pathology lab library, 1910, courtesy of the Indiana Archives and Records Administration.

Dr. Sarah Stockton earned a reputation as a gritty, compassionate physician at the Indiana Hospital for the Insane (later renamed Central State Hospital). According to a Moment of Indiana History, her appointment as assistant physician in the Women’s Department in 1883 was regarded as “significant enough to the cause of women’s rights as to merit mention by no less prominent an advocate than Elizabeth Cady Stanton, in History of Woman Suffrage.” Patients, like Anna Agnew, also praised her appointment. Agnew recalled in her 1886 reminiscences, “I felt the first time she came into my darkened room, where I lay in such agony as only miserable women suffer, and seating herself at my bedside, looking pityingly at me, the expression in her lovely blue eyes in itself a mute promise of assistance, before a word was spoken, that an angel had been with me.” Dr. Stockton was remarkable not only for her prolific medical career, but her tireless work for women’s suffrage.

According to the Lafayette Journal and Courier, Stockton was born on a local farm in 1842, the daughter of “pioneer settlers of Tippecanoe county.” She and her sister operated the Stockton boarding house in Lafayette, before she studied at the Woman’s Medical College in Philadelphia. Stockton graduated in 1882, penning a doctoral thesis about the history of insanity and the treatment of mental illness. An article in the Indianapolis News noted that she also graduated from a “Female medical college of Chicago” and practiced at a Woman’s hospital in Boston. In 1883, Indiana Hospital for the Insane Superintendent Dr. William Fletcher appointed Dr. Stockton to the woman’s department. He stated in 1884:

It may not be that a larger number of women would recover under special treatment, but it would be a comfort to every parent, brother, and sister, to know that their afflicted loved ones who are insane from the fact of being a woman, were to fall into the hands of a cultured and refined female physician when shut behind the hospital bars.

The progressive superintendent-who abolished the use of restraints and advocated moral treatment of patients-lauded Dr. Stockton’s accomplishments and those of female doctors in general. He noted at a medical conference that her appointment to the “woman’s department has proven a great benefit to a large class of patients hitherto utterly uncared for, so far as their special maladies were concerned.” He added “I do not understand how a hospital for insane women can reach its best results without the kindly aid of educated, skillful medical women.”

Instructions written by Dr. Stockton, courtesy of the Indiana Archives and Records Administration.

In the era during which Dr. Stockton practiced, many in the medical establishment believed that reproductive organs and menstrual function correlated with mental disorders. According to Nicole R. Kobrowski’s Fractured Intentions: A History of Central State Hospital for the Insane, “It was believed that because of the nervous energy and cerebral movement, the body used the menstrual blood as a power source for the body,” therefore irregular periods and menopause could induce insanity. In her 1885 “Report of Special Work in the Department for Women,” Dr. Stockton generally ascribed to this theory, but noted that she did not “believe that in every instance it takes part in causing insanity.” She wrote:

Agitation of the mind from external influences, or increased cerebral excitement that calls for a greater amount of blood and nervous energy, will for a time arrest the menstrual flow. In those cases removal of the exciting cause, with remedies that will aid in restoring the nervous and mental equilibrium, will usually result in a return of menstruation, and prove to be the first evidence of recovery.

Generally this treatment consisted of applying tonics to the “pelvic organs” and occasionally required surgery. Dr. Stockton’s “bedside manner,” and the fact that she was a female physician serving in a woman’s department, proved as important to patient health as medicinal treatment.

Anna Agnew, From Under the Cloud (1886), courtesy of Archive.org.

In her Personal Reminiscences of Insanity; Or, Personal Reminiscences of Insanity, Anna Agnew expressed how vital Dr. Stockton’s presence was to her recovery, noting “If I could only express the hopefulness her words inspired, not that I cared then to live, for I did not, but I was so thankful to be relieved from my terrible physical sufferings, and she was so handsomely dressed, too!” Agnew was deeply moved by Dr. Stockton’s compassionate treatment, writing:

And I still retain my admiration for my friend, and have added to my admiration of her personal appearance and intellectual endowments-love-for her never failing kindness and sympathy toward me in my sorrowful life. Thus this advantage one possesses in having a woman for your physician.

In fact, Agnew so valued Dr. Stockton she admitted that although she was not a women’s rights activist, “I do with all my soul sanction, her education as a physician! And for the sake, and in behalf of suffering woman-insane women in particular-since they can not tell their misery, I make an appeal to the board of trustees of every female hospital for the insane in the land, for the appointment of a woman upon their medical staff.” Dr. Mary Spink, an Indianapolis doctor who practiced during the same period, noted similarly that female patients preferred women doctors because “‘the man’s policy is to always laugh and make fun of hysterical and nervous women. . . . it makes the poor women mad, just the same, and they naturally seek more sympathizing ears.'”

Indianapolis Sun, March 26, 1895, accessed Newspaper Archive.

While at the Indiana Hospital for the Insane, Dr. Stockton was pressured by administrators to overlook dismal hospital conditions, resulting partly from lack of funding and staffing. However, she bravely testified in February 1887 that the butter was filled with worms, which was “not an uncommon thing.” In March 1889, the Indianapolis Journal reported on an investigation into the hospital’s conditions. Dr. Stockton again testified against the institution, despite dreading “the ruling powers at the hospital.” CC Roth, former assistant storekeeper, alleged that the trustees “‘had it in for anyone’ who disclosed the entire truth about the hospital, and that of the witnesses at the investigation two years ago those who told the truth about Sullivan’s maggoty butter and the conduct of the trustees had one after another been discharged.”

Indeed, Dr. Stockton was fired as a result of her testimony. However, she “did not heed its insolent imperiousness, but took time to withdraw from the place she has served so long and so faithfully with the deliberation that any person under like circumstances would employ.” One hospital trustee lamented her dismissal and the politics surrounding it, noting that Dr. Galbraith “was the most inefficient man who ever held the position of superintendent at the hospital, and that Dr. Stockton was the only really capable physician out there.”

Dr. Stockton continued to practice medicine after leaving the hospital, working at former superintendent Dr. Fletcher’s private sanatorium in Indianapolis (later known as Neuronhurst).

Ad, Indiana Medical Journal vol. 26, iss. 10, accessed Google Books.

In 1891 she served as physician at the Indiana State Reformatory for Girls and Prison for Women. Around 1900, Dr. Stockton returned to her former hospital, renamed Central Indiana Hospital for the Insane. Ten years later, the Indianapolis Star hailed her as a pioneer in her field, noting “Not longer than thirty years ago there was only one woman physician in Indianapolis-Dr. Sarah Stockton. Now there are fifty.” Similarly, the Arkansas Democrat described her in 1916 as “one of the leading women physicians in the United States.”

Circa 1900, courtesy of the Indiana Historical Society.

Early-20th century newspapers reported on the noted physician’s suffrage work. Illustrating why the fight for women’s equality was necessary, Dr. Spink stated that women doctors rarely married and that “the average man won’t enter the connubial harness with a woman who can’t attended to household duties.” Dr. Maria Gates was the only Indianapolis doctor at the time who married and it is “a significant fact that she dropped the ‘Dr.’ the moment the knot was clinched.”

The Indianapolis News stated in December 1915 that Dr. Stockton was slated to present a paper titled “The Woman Physician” at the Indianapolis branch of the Women’s Franchise League as part of a panel about women in “professional and business life.” In January 1917, nineteen stenographers signed a petition to protest the anti-suffrage movement in Indiana, citing suffrage as “a weapon that business women needed in dealing with the business world.” Nineteen graduates of Vassar College signed a similar petition. Dr. Stockton joined nineteen women doctors who also signed a pro-suffrage petition “‘just because it is right.'” In 1920, she gave a talk at a reminiscence meeting of the Indianapolis League of Women voters, along with other notable Hoosier women like Mrs. Meredith Nicholson and Miss Charity Dye.

Indianapolis Star, March 14, 1924, accessed Newspapers.com.

After dedicating twenty-five years of service to Central State Hospital and fighting for women’s right to vote, Dr. Stockton passed away at midnight of March 14, 1924. The Indianapolis Star reported that the “widely-known woman physician” had a “wide circle of acquaintances, both socially and professionally.” Most notably, she provided solace for countless female patients in an otherwise desolate hospital environment.

Women at Work in Science, Technology, and Medicine

Historians, Get to Work!

Women have been consistently left out of the story of the Hoosier state. On paper, historians agree that including the histories of women and other marginalized groups provides a more complete understanding of the events that shaped our communities, state, and world.  However, in practice, few historians are researching, publishing, or posting on women’s history.  Having identified a dearth of resources on Indiana women’s history, organizers from various institutions, both public and private, came together to develop an annual conference. This conference strives to energize the discussion of Indiana women’s history and make the papers, presentations, and other resources resulting from the conference available to all Hoosiers. This year, the Indiana Historical Bureau and the Indiana State Library will host the second annual Hoosier Women at Work Conference.

This conference also aims to address and work towards correcting the pervasive lack of resources on Indiana women’s history. Even historians sensitive to the issue often follow established practices of treating the history of government and business and military as the “real” and “significant” history. However, these are areas where women have been categorically denied entrance or discriminated against directly or through lack of education or opportunities.  These areas exclude women of color, poor women, and native women even more disproportionately than white women of means.  To point out our own complicity, of the over 600 state historical markers created by our agency, only thirty-nine are dedicated to women’s history.  Several are simply wives or mothers of influential male notable Hoosiers, some only tangentially include women, and only ten include native women or women of color. We have work to do too.

It is essential that we, as historians who want a complete picture of the history of our state, do the work – the digging through newspapers, letters, photographs, and interviews; the comparing, analyzing, interpreting, writing, posting, and publishing; and the pushing back, organizing, and speaking up – to tell these stories at the local level.  These are the stories that in turn inform the national narrative of who we are as Americans and world citizens.  Half the story is missing!

Write an article, make a podcast, start a blog, edit a Wikipedia page, and join us for the Hoosier Women at Work Conference to hear speakers on a myriad of women’s topics and get inspired to contribute to the Hoosier story.

The Hoosier Women at Work 2017 Conference: Science, Technology, and Medicine

On April 1, 2017, the Indiana Historical Bureau and the Indiana State Library will host a symposium on the history of Indiana women at work in the fields of science, technology, and medicine.  The one-day conference aims to expand the scholarship and ignite discussion on topics as diverse as inventors/inventions; medical breakthroughs; agriculture and technology; public health; sanitation; exposure to hazardous materials in the work place; access to medical care; hospitals; women’s access to training and employment in any of these fields; and the impact of science, technology, and medicine on complicating or improving women’s lives.

The keynote speaker is Sharra Vostral, Associate Professor of History, Purdue University and author of Under Wraps: A History of Menstrual Hygiene Technology. The conference will take place at the Indiana State Library and Historical Building in downtown Indianapolis and registration is open now. Visit www.in.gov/history/hoosierwomenatwork to register and check back for updates.

Dr. Harvey “Old Borax” Wiley and His Poison Squad

hwwiley-02
Harvey Washington Wiley, M.D. Image courtesy of U.S. Food and Drug Administration.

For many people, the first thing that comes to mind when thinking of the early Pure Food movement is Upton Sinclair’s 1906 book The Jungle. However, Hoosier Harvey Wiley’s work in the field was already at its apex when Sinclair’s exposé was released. When Dr. Wiley started his career in the mid- to late-9th century, the production of processed foods in the US was on the rise due to the increasing number of urban dwellers unable to produce their own fresh food. With little to no federal regulation in this manufacturing, food adulteration was rampant. Dr. Wiley made it his mission prove the importance of food regulation. With the help of a group of men known as the Poison Squad, he did just that.

Harvey Washington Wiley was born on a small farmstead near Kent, Indiana on October 18, 1844. He attended Hanover College from 1863-1867, with the exception of a few months in 1864 when he served in Company I of 137th Indiana Volunteers during the Civil War. After graduating in 1867, Wiley moved to Indianapolis and began teaching at Butler University while earning his Ph.D. from the Medical College of Indiana. It was in 1874 that Dr. Wiley began his work as a chemist at Purdue University, where he developed an interest in adulterated food. Wiley argued that mass-produced food, as opposed to food produced locally in small quantities, contained harmful additives and preservatives and misled consumers about what they were actually eating. In the coming decades, Wiley would prove that this theory was correct and serve as one of the public faces of the pure food movement. As a 1917 advertisement in The (New York) Sun put it:

“Dr. Wiley it was who, at Washington, first roused the country to an appreciation of purity and wholesomeness in foods. He has been the one conspicuous figure in food betterment and food conservation in the present generation.”

In 1883, Wiley was appointed Chief Chemist of the Bureau of Chemistry, a division of the United States Department of Agriculture. While serving in this capacity, Wiley made the establishment of federal standards of food, beverages, and medication his priority. To this end, governmental testing of food, beverages, and ingredients began in 1902. The most famous of these tests were the “hygienic table trials,” better known by the name given to them by the media: “The Poison Squad.”

The Poison Squad
The “twelve young clerks, vigorous and voracious,” who made up the Poison Squad, sit six to a table. Image courtesy of U.S. Food and Drug Administration Flickr page.

During these trials, “twelve young clerks, vigorous and voracious” were fed and boarded in the basement of the Agricultural Department building in Washington D.C. Before each meal the men would strip and be weighed, any alteration in their condition being noted. At any one time, six of the group would be fed wholesome, unadulterated food. The other six were fed food laced with commonly used additives such as borax and formaldehyde. Every two weeks, the two groups would be switched. While the position of poison squad member may sound like it would be a hard one to fill, volunteers were lining up to participate in the tests, even writing letters such as the following to Dr. Wiley:

Image courtesy of U.S. Food and Drug Administration Flickr page.

The experiments commenced in November of 1902 and by Christmas, spirits among the Squad members were low. According to a Washington Post article from December 26,

“The borax diet is beginning to show its effect on Dr. Wiley’s government-fed boarders at the Bureau of Chemistry, and last night when the official weights were taken just before the Christmas dinner the six guests who are taking the chemical course showed a slight decrease in avoirdupois . . . To have lost flesh on Christmas Day, when probably everybody else in Washington gained more or less from feasting, was regarded by the boarders themselves as doubly significant.”

A look at the “unprinted and unofficial menu” from the Christmas meal, also printed in the Post, sheds some light on what may have given the boarders pause in their Christmas feasting.

Image courtesy of The Washington Post: Dec 26, 1902; ProQuest Historical Newspapers: The Washington Post pg. 2. 

Much of the information reported by the press during this time came from the members of the squad themselves, until “Old Borax” as Wiley came to be known, issued a gag-order in order to preserve the sanctity of the scientific studies happening. Despite the order, public interest had been peaked and tongues and pens wagged around the country. As one Columbia University scholar put it, “Supreme County justices could be heard jesting about the Squad in public, and even minstrel shows got in on the act.” There were even poems and songs written about the trials.

If ever you should visit the Smithsonian Institute,
Look out that Professor Wiley doesn’t make you a recruit.
He’s got a lot of fellows there that tell him how they feel,
They take a batch of poison every time they eat a meal.
For breakfast they get cyanide of liver, coffin shaped,
For dinner, undertaker’s pie, all trimmed with crepe;
For supper, arsenic fritters, fried in appetizing shade,
And late at night they get a prussic acid lemonade.

They may get over it, but they’ll never look the same.
That kind of a bill of fare would drive most men insane.
Next week he’ll give them moth balls,
a LA Newburgh, or else plain.
They may get over it, but they’ll never look the same.

-Lew Dockstade, “They’ll Never Look the Same”

At the close of the Borax trials in 1903, Wiley began cultivating relationships with some journalists, perhaps in hopes of turning the reports from jovial, and sometimes untrue, conjectures to something more closely resembling the serious work being done.

Along with borax and formaldehyde, the effects of salicylic acid, saccharin, sodium benzoate and copper salts were all studied during the Hygienic Table Trials. The reports generated during the Hygienic Table Trials and the media coverage that followed set the stage for the passage of the Pure Food and Drug Act of 1906, the same year in which the trials were concluded. According to the FDA, the Pure Food and Drug Act of 1906, also known as The Wiley Act, serves the purpose of “preventing the manufacture, sale, or transportation of adulterated or misbranded or poisonous or deleterious foods, drugs, medicines, and liquors, and for regulating traffic therein.”

By requiring companies to clearly indicate what their products contained and setting standards for the labeling and packaging of food and drugs, the Act helped consumers make informed decisions about products that could affect their health. While controversies over additives and government regulations continue to this day, Dr. Harvey Wiley and his Poison Squad played a major role in making the food on our tables safe to eat.

Check out our historical marker and corresponding review report to learn
more about Wiley.                            marker picLearn about the history of public health in Indiana and Wiley’s contributions with our publication The Indiana Historian.

John Shaw Billings: “I Could Lie Down and Sleep for Sixteen Hours without Stopping”

John Shaw Billings portrait, n.d. Photo courtesy of the National Library of Medicine.

We all know those people, who accomplish more in one hour than we do all week, who redefine “industrious” and excel at everything they try. Indiana native John Shaw Billings was the archetype, a visionary with seemingly infinite energy who revolutionized medical and bibliographical practices that endure into the 21st century. Billings stands among several Hoosiers who are profoundly influential, yet under recognized, including the inventor of the television Philo T. Farnsworth and creator of one of America’s first automobiles Elwood Haynes.

Billings was born April 12, 1838 in Allensville, Indiana; his family moved to the East Coast briefly in 1841 and returned in 1848. Ambitious from a young age, Billings made a deal with his father that, in exchange for forfeiting inherited property, his father would fund his college education. At the age of 14 and after intensive study, he passed the entrance exam for  Miami University at Oxford, Ohio, where he incessantly studied philosophy and theology at the college library. After earning his B.A., he entered the Medical College of Ohio at Cincinnati in 1858, where he undertook his thesis “The Surgical Treatment of Epilepsy” that would later inform his monumental bibliographical endeavors.

John Shaw Billings : an autobiographical fragment 1905 (facsimile copy of the original manuscript), courtesy of Archive.org.

Shortly after graduation, Billings’s training coincided with the start of the American Civil War, providing him with opportunities to apply his medical knowledge. In 1861, Billings traveled to Washington, D.C. and became a contract-surgeon with the military. Soon thereafter he was appointed assistant surgeon in the U.S. Army, working at the Union Hospital in Georgetown. While there, his “extraordinary manual skill and boldness in dealing with difficult cases attracted the attention of the surgeon-general,” and he was put in charge of Cliffburne Hospital near Georgetown.

As a Civil War surgeon at several prominent battles–including the Battles of Chancellorsville, Gettysburg, Cold Harbor, and Petersburg–Billings was tasked with establishing field hospitals, operating and treating wounded soldiers for hours while under fire, and transporting waves of injured soldiers from battle sites with limited equipment. Billings lamented the trials of his work, writing to his wife about the Battle of Gettysburg:

“I am utterly exhausted, mentally and physically. I have been operating night and day, and am still hard at work. I have been left in charge of 700 wounded, and have got my hands full. Our division lost terribly, over 30 per cent were killed and wounded. I had my left ear just touched with a ball . . . I am covered with blood, and am tired out almost completely, and can only say that I could lie down and sleep for sixteen hours without stopping. I have been operating all day long, and have got the chief part of the work done in a satisfactory manner.”

After the battle, Billings understandably left field work for a brief period due to “nervous tension and physical exhaustion.” In August 1864, Billings helped edit field reports that became the monumental The Medical and Surgical History of the War and eventually transferred to the Surgeon-General’s Office, where he remained until retirement in 1895.

billings in army
Albumen silver print, ca.1862, courtesy of Smithsonian Libraries blog.

As the war concluded, hospitals submitted surplus operating funds to the Surgeon-General’s Office; these funds were given to Billings to build up the Surgeon-General’s library, which later became the National Library of Medicine. Billings expanded the collection by writing to editors, librarians, physicians, and State Department officials requesting book donations, eventually increasing its holdings from 600 entries in 1865 to 50,000 by 1873. The scope of the collection soon required a guide to help researchers locate desired publications. Billings understood firsthand the difficulty of locating such sources, as his thesis research required intensive time, labor, and travel to libraries in Cincinnati and Philadelphia.

With the assistance of Dr. Robert Fletcher, Billings devised a catalogue for the Surgeon-General library’s holdings, publishing the first volume of the Surgeon General’s Medical Index Catalogue in 1880. He hoped it “would spare medical teachers and writers the drudgery of consulting ten thousand or more different indexes or of turning over the leaves of as many volumes to find the dozen or so references of which they might be in search.” As new medical materials were published, Billings struggled to keep the Catalogue current, so he devised the Index Medicus, a monthly supplement that focused on new and select publications. The Index Medicus was the forerunner to the medical databases MEDLINE and PubMed.

library
Surgeon General’s Library, ca. 1890. Billings sits at center table, courtesy of New York Public Library Digital Gallery.

Prior to Billings’s systematic efforts to compile and organize medical literature, researchers and physicians had few methods to effectively locate sources, including medical studies and reports on operations. The Index Catalogue and Medicus served as a nearly comprehensive clearinghouse of medical literature, both current and historical, whose contents could aid in medical education and diagnoses. Dr. Stephen J. Greenberg and Patricia E. Gallagher summarize the magnitude of Billings’s efforts in “The Great Contribution,” contending that “with only ink and index cards, they [Billings and Fletcher] tamed an enormous and complex technical literature in virtually every written language on the planet” and that the indices “paved the way for the great databases that now are the primary underpinnings for the medical research of the future.”

Billings’s efforts at the Surgeon-General’s library served as the beginning of his library work, which would one day lead him to industrialist and philanthropist Andrew Carnegie. For more information on Billings’s Civil War activities and establishment of the Surgeon-General’s library and corresponding Index Catalogue, see the Historical Marker Review.

Check back for Part II: “A New Era of Hospital Construction” about Billings’s involvement in the establishment of Johns Hopkins Hospital and how it revolutionized medical treatment and education.