Category: College of Medicine (page 1 of 3)

Reflections on the Country Doctor: A Slice of History with a Personal Connection

Reflections on the Country Doctor: A Slice of History with a Personal Connection
By Phil Sparling

As kids growing up in the 1950s, my brother, sister and I looked forward to Sunday and holiday visits to our paternal grandparents’ home in London, a small town 25 miles west of our house in Columbus. My father was a surgeon and his father was a country doctor.

The London home at 60 N Main Street was special because it was like a castle: huge and old, three stories with a turret, balconies, long hallways, and secret stairways, most of which were off-limits. Then there were the doting aunts, my grandmother’s oatmeal cookies, the parakeets in the parlor, London cousins, and a side ally to explore.

Even as a boy, I knew Grandpa Doc was revered. I remember him as an old man quietly dozing in his comfortable chair in the family room. It was a big chair to accommodate his large frame; it was his chair, no one sat there but him. My parents and aunts continually cautioned us to not disturb him, as he needed his rest.

After four decades as a general practitioner (GP), he no longer tended patients as age and simple wear and tear from a demanding calling had taken its toll. He died in 1959 at age 76 when I was 10. My father died suddenly a few years later when I was a teenager. After my father’s death, visits and connections to London diminished and life moved on in different directions.

Now, in retirement, and after more than half a century living in the Southeast, I visited my dad’s boyhood home and discovered the house had been beautifully restored to its original grandeur. This led me to delve into its history and uncover a surprisingly long history of medical care dispensed from 60 N Main.

It all began with Henry James Sharp, born in 1845 in Gallipolis (Gallia County). Like his father, he became a physician. After attending Ohio Wesleyan, he enrolled in Starling Medical College in Columbus, graduating in 1871. It’s important to note that Starling’s three-year program was well regarded and one of the forerunners of the Ohio State University College of Medicine.

At the time, physician training was not standardized; it varied widely within and across states. The MD credential could be obtained through short courses or apprenticeships; most of which were designed for maximum profit, not educational soundness. At county fairs, paper-milled doctors still peddled patent medicines. Many were talented charlatans capable of wowing audiences with enthralling oratory. Sustained advocacy by the American Medical Association from 1900 to 1920 established the template for medical education as we know it today.

Following graduation, the new Dr. Sharp moved to London and started his practice as a GP. The following year, he married Katharine Dooris from Zanesville. She became a force in her own right as an author, botanist and suffragist. They raised their five children in London and became prominent and respected leaders in the community. They never left London.

 

Katharine Sharp

Henry Sharp

 

 

 

 

 

 

 

 

 

Dr. Sharp was a doctor on horseback, practicing from 1871 till his death in 1916 at age 70. House calls were routine. In the course of a day, he might deliver a baby at one farm, set a broken leg at another and return home to find an office full of patients. In the middle of the night, he was often roused from his bed to treat an emergency. GPs faced epidemics and cancers with inadequate knowledge and resources but with dedication to provide the best care possible for patients, all of whom were neighbors.

By the early 1890s, he was prosperous and decided to build a grand home for his family and to better accommodate patients. In this era, doctors saw patients in their homes, so adequate space for a waiting room, exam room and office was a constant challenge. He remained at 60 N Main, which he initially purchased in 1875, as it was a central location, one block from the center of London at the intersection High and Main.

Directly across the street were the recently completed (1892), classically-designed Madison County Courthouse (added to National Register of Historic Places in 1973) and a modern brick jail and sheriff’s residence. In fine fashion, Dr. and Mrs. Sharp had renowned Columbus architects Yost & Packard design a Queen Anne’s style residence. The new house was completed in 1894.

Katharinre Dooris-Sharp wrote a poem about a modern feature of their new home. A few verses are presented below (from The Doctor’s Speaking Tube and Other Poems, Boston: Gorham Press, 1904).

The Doctor’s Speaking Tube

He had traversed the county from end to end,
And even beyond did his trips extend;
There was not a by-road and hardly a gate
Which he had not entered, early or late;
There was not a tree nor flower that grew,
Nor silent land-mark, but what he knew.

‘Twas a tedious method of gathering pelf;
And the long years made the doctor, himself,
Through the county, a sort of land-mark, too,
As over the smooth roads his fleet horse flew:
For no one knew horse-flesh better than he,
And faster than his was a rarity.

Well, the doctor concluded to build a house
With a speaking-tube attachment, to rouse
From his peaceful slumbers, that, nevermore,
Would he need to descend to his front hall-door,
When half awake and en deshabille
And muttering such words as a doctor will.

So he built a mansion in modern style,
Where, the very first night, came Micky O’Rile
In search of a doctor. He pounded the door,
As many and oft-times he’d pounded of yore.
Then: “What do you want?” came a voice at his back.
Mick turned around quickly: ‘twas midnight and black.

No form could he see, but ‘mid splashes of rain,
“Say, what do you want?” came the murmur again.
“Bedad, thin,” says Micky, “that same is a ghost!
“Its a foine thing for sperrits a poor man to roast!
“Its me lave I’ll be takin’ in a bit of sthrake!”
And the doctor lay, chuckling, a good while awake.

Sometimes in the lonely midnight hour
A soft voice tried on the tube its power:
“O Doctor, we need you so very much!”
In the gentle tone was a magic, such,
For a second bidding there was no need,
And away he went at his greatest speed.

60 N. Main, circa 1900

A son Wilfrid Dooris Sharp, born 1880, followed his father into medicine. Doctoring ran in families, then as now. After graduating from Starling Medical College in 1904 and completing a one-year internship, he returned home and joined his father’s practice at 60 N Main. After a few years, he left for additional medical training and then moved to Cleveland where he practiced for 37 years until his death in 1946.

In 1919, three years after her husband’s death, K. Dooris-Sharp sold “the doctor’s house” to a newer doctor in London, Harry Perkins Sparling. He too was a doctor’s son, born in 1883 in Marietta where he went to Marietta College and then Starling-Ohio Medical College, graduating in 1910.  He married Stella Murphy the same year and they moved to London a year later after his internship at Mount Carmel Hospital.

 

Harry Sparling

By the time he bought the Sharp’s house, Dr. Sparling had established roots in the community as a GP. He and Stella had four children between 1911 and 1916. The large home at 60 N Main was a good fit for a growing family and his expanding practice. For patients, it was still the doctor’s house, only the doctor had changed. As with Dr. and Mrs. Sharp, Dr. and Mrs. Sparling would become part of the fabric of London and live out their lives there.

Sparling children, circa 1920

As you have gathered, Dr. Sparling was Grandpa Doc. I recall stories about midnight house calls and the transition from buggy to automobile. A remnant is the stone stoop on the road in front of the house to step up onto to enter the buggy. And aunts told tales about patients paying the doctor’s bill in kind with eggs, chickens or a part of a butchered hog.

Due to declining health, Grandpa Doc stopped practicing about 1950. He was among the last generation of GPs as medical specialties grew rapidly from mid-century forward. His son (my father) William R. Sparling was an example of the shift to specialization: a 1939 graduate of Ohio State’s College of Medicine, he joined the Army Medical Corp in 1940, then following the war completed a residency in general surgery. He remained in Columbus with a surgical practice at Mount Carmel Hospital.

My grandfather died in 1959 and my grandmother passed in 1972. The house was kept in the Sparling family until 1988. In 2000, another doctor bought it and restored it to its early glory. Of course, today it is a residence only. The original patient waiting area is a spacious entry foyer and the exam room is a cozy den.

60 N. Main, 2020

From the horse-and-buggy doctor a century and a half ago to today’s primary care physician, the special connection between doctor and patient remains the crux of medicine. But the days of the general practitioner with his black bag are gone, as are visits to the doctor’s house.

As a side note, traveling back into the past was eye-opening. I reconnected with the life and times of previous generations. Be your own wayfinder where family lore, written records and memories of home are guideposts.

 

I gratefully acknowledge the assistance of Ohio State University Medical Center archivist Kristin Rodgers, officials at the Madison County Recorder’s Office, and current owners of 60 N. Main, Mark and Moira Landes. This essay is dedicated to my brother.

 Phil Sparling is a retired professor who lives in the North Georgia foothills. 

Medical Center Expansion

In 2014 the Medical Center Expansion project, the largest expansion project in OSU’s history, which included the new home of the Comprehensive Cancer Center – James Cancer Hospital and Solove Research Institute and a new Critical Care Center, was completed.

Expansion in the 1950s

Aerial View of Medical Center in 1952

Aerial View of Medical Center in 1952

The 1950s marked a time of expansion for departments in the OSU College of Medicine with five beginning the Division of Rheumatology and Immunology (1950 as Arthritis and Rheumatic Diseases); the Department of Physical Medicine and Rehabilitation (1951); the Department of Psychiatry (1951); the Department of Plastic Surgery (1952); and, the Department of Urology (1952 formally, but began in 1917 informally).

Expansion in the 1940s

Aerial Drawing of Medical Center, 1947

Aerial Drawing of Medical Center, 1947

The 1940s marked a time of expansion for departments in the OSU College of Medicine with four beginning the Division of Gastroenterology, Hepatology and Nutrition (1945); the Department of Radiology (1947); the Division of Anesthesiology (1947, informally since 1914 developing alongside Surgery); and, the Division of Endocrinology, Diabetes & Metabolism (1949).

Harding Hospital

Harding Hospital located in Worthington, Ohio was a non-profit organization founded in 1916 by George T. Harding II, MD. The hospital specialized in psychiatric care. As such, Harding had a diverse payroll that ranged from psychiatrists and therapists, to social workers and ministers in training. Harding offered inpatient, outpatient, halfway house, family care, individual psychotherapy, milieu therapy and group therapy services. In 1999 Ohio State and Harding Hospital united their services and moved the hospital facility to the OSU campus in Columbus. Today, OSU Harding Hospital offers the only academic program in central Ohio providing child, adolescent, adult and geriatric inpatient services.

The Medical Heritage Center has an archival collection about the original Harding Hospital and the finding aid for it can be viewed at https://hsl.osu.edu/mhc/pdf/harding-hospital-collection

Arthur G. James

Dr. James in front of Cancer Hospital, c. 1990

Dr. James in front of Cancer Hospital, c. 1990

Dr. Arthur G. James (1912-2001) believed all cancer would eventually be eradicated. That belief coupled with his dedication to the idea that cancer patients needed separate, specialized care, led him to lobby, campaign, and fundraise for thirty-five years to build a cancer hospital in Ohio. The Arthur G. James Cancer Hospital and Research Institute opened at Ohio State on July 9, 1990 when it admitted its first patient. At the time of its construction, only three hospitals – Roswell Park in Buffalo, New York; M.D. Anderson in Houston, Texas; and Memorial Sloan-Kettering in New York City – had comparable resources. After a gift of $20 million from Richard J. Solove in 1999, the facility was renamed the Arthur G. James Cancer Hospital and Richard J. Solove Research Institute, but is commonly referred to as the James. The facility remains the only freestanding cancer hospital in Ohio to this day.

A book written by George Paulson and Kristin Rodgers titled Arthur G. James Surgeon with a Dream is for sale by the Medical Heritage Center for $25 plus applicable sales tax. [link to: https://hsl.osu.edu/service-areas/mhc/services/publications-sale] This publication is primarily based on Dr. James’s archival collection and the finding aid for that can be viewed at https://hsl.osu.edu/mhc/pdf/arthur-g-james-md-collection

Paul Tennyson Williams

Paul Tennyson Williams (1925- ) had his own medical practice in Delaware, Ohio until 1974. In 1974 academic family medicine was initiated at Ohio State as a division of the Department of Preventive Medicine and Williams is recruited and appointed Professor and Chair. Under Williams’ leadership in 1974, the Division of Family Medicine received full accreditation for its Family Practice Residency Program, the first university-based family practice residency program in Ohio.

The Medical Heritage Center has an archival collection about Dr. Williams and the finding aid for that can be viewed at https://hsl.osu.edu/mhc/pdf/p-tennyson-williams-md-collection

Manuel Tzagournis

Manuel Tzagournis

Manuel Tzagournis

Manuel Tzagournis (1934-) received his BS in 1956 and his MD in 1960 from OSU. While doing an internship at Philadelphia General Hospital, Tzagournis became particularly interested in diabetes mellitus thus leading him to practice endocrinology. Tzagournis has held numerous positions at OSU including Assistant Dean for Research and Continuing Medical Education; Secretary of the Faculty of the College of Medicine; Associate Dean; Medical Director for OSU Hospitals; Acting Dean (1980); Dean (1981-1995); Vice President for Health Sciences (1994-2002); and Vice President and President of the University’s Managed Care System.

Tzagournis was a long serving and successful dean and during his tenure he became the single best known representative of the Ohio State University College of Medicine programs in communications with the public and around campus.

From 1982 until 1996, Tzagournis was the NIH principal investigator for the General Clinical Research Center for the Ohio State University College of Medicine. In this role, he was responsible for the research productivity of a unit that housed patients being studied for special research programs, often with metabolic evaluation as a major part of the research.

Tzagournis is also known for having produced resolution in the dispute about the practice plan and for maintaining a widespread relationship with alumni as well as practicing physicians.

The Tzagournis Medical Research Facility was officially named in 1999 after Dr. Manuel Tzagournis. This eight story facility houses generic research laboratories and support facilities.

Ernest Johnson

Ernest Johnson

Ernest Johnson

Ernest Johnson, MD (1924-) is known for having created the premier program in Physical Medicine and Rehabilitation in America in 1963 at Ohio State. Dr. Johnson has also actively educated institutions regarding the importance of wheel chair accessibility and opportunities for the disabled. He was responsible for having led the entire campus in becoming user-friendly for wheel chairs. In 1992 he was the first physician to receive the Henry Betts Award for Rehabilitation; it is usually awarded to a famous public spokesperson for the disabled.

Dr. Johnson also served as editor of the Journal of The Ohio State University College of Medicine. Issues of this Journal are available for viewing in the Medical Heritage Center.

Henry G. Cramblett

Henry Cramblett

Henry Cramblett

Henry Gaylord Cramblett (1929-) received his BS in 1950 from Mount Union College and his MD in 1953 from the University of Cincinnati. Cramblett came to OSU in 1966 as chairman of the Department of Medical Microbiology. He was Dean of the College of Medicine (1973-1980) and was vice president for health sciences (1980-1982). Cramblett was instrumental in the opening of the clinic facility in 1974 and was honored with it being named for him in 1999 (the building was demolished in 2012).

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