Vera Gedroits
Princess Vera Gedroits | |
---|---|
Вера Гедройц | |
Ukrainian SSR, Soviet Union | |
Nationality | Russian |
Other names | Vera Gedroyts, Vera Gedroitz, Vera Gedröitz, Vera Giedroyć, Vyera Ignat'yevna Gyedroycz |
Occupations |
|
Years active | 1900–1932 |
Writing career | |
Pen name | Sergei Gedroits |
Princess Vera Ignatievna Gedroits (Russian: Ве́ра Игна́тьевна Гедро́йц ⓘ; 7 April 1870 O.S./19 April 1870 N.S. – March 1932, literary pen name Sergei Gedroits) was a Russian doctor of medicine and author. She was the first woman military surgeon in Russia, the first woman professor of surgery, and the first woman to serve as a physician to the Imperial Court of Russia.
Following her involvement in a student movement, Gedroits was unable to complete her studies in Russia, and despite being openly lesbian, entered into a marriage of convenience, which allowed her to obtain a passport in another name and leave the country. In Switzerland, she enrolled in the medical courses of César Roux and graduated in 1898, working as Roux’s assistant, but returned to Russia because of illnesses in her family.
As a young physician, Gedroits was concerned at the low standards of hygiene, nutrition and sanitation, and made recommendations to improve conditions. In the Russo-Japanese War, she performed abdominal surgeries against established policy, leading to a change in the way battlefield medicine was performed. Much decorated for her war service, she served as physician to the royal court until the outbreak of World War I, training the Tsarina Alexandra and her daughters as nurses.
At the beginning of the
Early life
Vera Ignatievna Gedroits was born on 7 April 1870 O.S.
Gedroits was the middle child among five living siblings, Maria (1861), Ignatius (1864), Nadezhda (1876), and Alexandra (1878).[4][10] Another brother, Sergei, of whom she was particularly fond, died young and would later inspire her literary pseudonym.[7][11] Following Sergei's death, she developed an interest in medicine, vowing to become a doctor so that she could help to prevent suffering.[6][10] The children, like their mother, were raised as Orthodox, but their father remained Catholic.[4] They grew up on the family estate[1][6] which was destroyed by fire in 1877, forcing them to move to a boarding house where their grandmother Natalia Mikhau taught the children reading, French, music, and dancing. The lively Vera Gedroits became the children's ringleader, often dressing in boys' clothes for convenience.[10]
Gedroits attended at the Bryansk women's
Years in Switzerland
Keen to continue her studies, but unable to do so in Russia, Gedroits arranged a
Upon receipt of her diploma, Gedroits first worked as an intern in a therapy clinic, but was soon posted as a junior assistant to Roux. Carrying out scientific studies, she became Roux's senior assistant and he subsequently offered her the post of Privatdozent.[5][13] Immersing herself in her work, Gedroits wrote that she was "drowning in surgery" in an attempt to comprehend all the subtleties of the procedures and how best to help her patients.[14] She began an ardent lesbian affair,[3] but was forced to return to Russia when she received a pleading letter from her father. He advised that her sister Alexandra had died from tuberculosis and her mother was suffering from nervous exhaustion.[10] He urged her to return and assist him, promising to help her secure work in a new 10-bed factory hospital which was being built.[3][6] Believing she had a responsibility to her family,[14] she reluctantly returned to Slobodishche in 1900.[3][6]
Return to Russia
On her return, Gedroits was immediately hired at the Maltsov Cement Factory in the Zhizdrinsky District of the Kaluga Oblast as the plant's physician. Though primarily responsible for the medical needs of the workers and their families, she tended to local villagers as well,[15] as she was the only doctor in the district.[6] By 1901, Gedroits had performed 248 operations with minimal fatalities, including amputations, herniation repair, and setting broken bones, many caused by the difficult working conditions of the laborers.[5] Inadequate safety practices by the factory meant that there was a high risk of industrial accidents and the cement dust caused many eye problems. Poor living conditions with little sanitation, inadequate knowledge of hygiene and nutrition, and no midwifery care contributed to other serious health issues, such as dysentery. Concerned about the overall health of the workers, Gedroits made a list of recommendations for factory administrators, including cleaning the wells, providing washing tubs, and serving hot meals.[6][16]
In addition to her hospital work, Gedroits published scientific articles in Russian medical journals, which began to be noticed and reprinted in German and French.[5][6] Invited to participate in the Third Congress of Surgeons in 1902,[7] she presented a report on a surgery performed in 1901 on a male patient suffering from a deformation of the hip joints, which was so severe he could not stand or sit comfortably. Following a complex surgery, within four months the patient was able to walk without crutches.[5][6][17] Her detailed report showed a thorough knowledge of surgical work of predecessors in the field, including John Rhea Barton, F. J. Gant, Bernhard von Langenbeck, Jules Germain François Maisonneuve, and Richard von Volkmann.[18]
Wanting to leave the provincial life because of the difficult working conditions, the poverty of the workers, and family issues, Gedroits was required to attain Russian credentials to practice medicine elsewhere in Russia. In spite of her Swiss degree, she had to obtain certifications to meet the requirements of the
Russo-Japanese War
In early 1904, with the outbreak of the Russo-Japanese War, Gedroits volunteered to go to the front with the Red Cross.[2][7] In the first month of the war, she treated 1,255 patients, including over 100 patients with head wounds and 61 patients with abdominal wounds. Initially treatment was provided in tents covered in an insulating layer of clay, but by January 1905,[20] Gedroits was accompanying the horse-drawn ambulances which brought the wounded to the hospital to perform triage, before entering the operating theater.[3] She was appointed chief surgeon of the hospital train,[21] which consisted of an operating car and five patient cars.[3] The operating car was a specially equipped surgical unit, supplied by the Russian nobility to allow care to the wounded to be performed on the front lines. This put the medical personnel at grave risk, as unless there were wounded personnel in ambulances, tents or surgical trains, their neutrality was not recognized.[2]
Though many Russian, as well as French and British, military surgeons had discarded the idea of treating abdominal wounds, Gedroits recognized that early intervention was key.[7][22][23] Standard treatment at the time required the patient to be placed in a semi-reclining position so that the wound could drain. In previous eras, without anesthesia, penetrating abdominal wounds were considered inoperable.[24] Gedroits was the first to perform laparotomies on military patients,[7][22] having extensive experience in abdominal surgery for hernias, the most frequent surgery she performed in the cement factory hospital.[16] Her procedure required that the patient undergo the operation within three hours of receiving a wound.[25] Her success rate was high, leading to recommendations being made in international medical journals to adopt mobile surgical units which allowed for rapid treatment.[26] The Russian Army and the Russian Society of Military Doctors officially adopted Gedroits' operative procedures.[27][28]
Designed to treat 2,000 people, the nobles' hospital quickly exceeded its capacity and because it was on the front lines, mortality was high. With the Russian defeat, Gedroits helped organize the hospital evacuation from near the
Provincial work
Gedroits decided in 1905 to disentangle herself from her marriage and was divorced on 22 December 1905.[3][7][Notes 2] Her maiden name and her noble title were restored on 1 February 1907.[7] At the Maltsov factory, she continued to see many chronic diseases and began cataloguing the cases of bone tuberculosis, infection, and inguinal hernia for future scientific study. She recommended that special institutions designed to treat chronic patients be established.[6] Gedroits published 17 scientific papers between 1902 and 1909. In addition to hernias and industrial injuries, her publications also covered surgeries for obstetrics, the thyroid gland, and various tumors which she had seen in her patients.[31] Her operating experiences included abdominal and chest wounds, amputations, ectopic pregnancy, facial and tendon reconstructions, intestinal resection, hysterectomy, skull trepanation, and setting bones.[32]
The Lyudinovskaya Hospital was originally associated with the Lyudinovskaya Mining Plant, but was turned into a surgical hospital serving the nearby communities of the district. Gedroits utilized her Swiss education and battlefield experiences as a basis for bringing it up to modern European standards. She expanded the facility and equipped it with new surgical implements, including white gowns, threads, and gloves. She obtained apparatuses like the D'Arsonval and Tesla high-frequency current instruments and x-ray machines, promoted the use of ether rather than chloroform for anesthesia, and selected special garments for patients and their bed linens, all of which were innovative measures for her time. She also established a pathology and anatomy archive and cooperative agreements[6][33] with Philip Markowitz Blumenthal's chemical and bacteriological institute on Lubyanka Square in Moscow to improve diagnostics.[6][34] In addition to her work in the hospital, Gedroits made numerous housecalls, and over a five-year period, reported she had visited 125,363 patients.[35] She received a municipal commendation from the City Council for her merits as a surgeon in 1908.[6][18]
Tsarskoye Selo
In 1909, at the invitation of Tsarina Alexandra Feodorovna,[3][5] Gedroits became the senior resident physician at the Tsarskoye Selo Court Hospital, "with a salary of 2,100 rubles and a state apartment".[3] As the royal household's first female physician[6] and the second-highest-ranking member of the hospital's staff, she headed the Departments of Surgery and Gynecology/Obstetrics, while acting as the attending physician for the royal children.[7] As the only medical facility in Tsarskoye Selo, the Court Hospital functioned as a city hospital, with a surgery, a therapeutic department, and an isolation wing for infectious patients.[36] To ensure that they had reference materials, she wrote a textbook for the royals, Беседы о хирургии для сестер и врачей (Conversations on Surgery for Sisters and Doctors), addressing general surgical problems in laymen's terms.[5][37][38]
Taking advantage of her position, Gedroits made no attempt to conceal her lesbian inclinations
Interested in providing support for young writers,[3] in 1911, she paid half the costs to establish the journal Гиперборей (Hyperborea).[11] In parallel, Gedroits was compiling a thesis based on research from her factory days. She successfully earned her doctorate of surgery, the first woman to achieve the distinction from the University of Moscow, on 11 May 1912, after defending her thesis Отдаленные результаты операций паховых грыж по способу профессора Ру на основании 268 операций (Long-term results of inguinal hernia operations using the protocol of Professor Roux based upon 268 operations).[6][20] The thesis was dedicated to Roux and Pyotr Ivanovich Dyakonov , a Russian surgeon who had been supportive to her work.[39] She published a second volume of poetry, Вег (Veg, representing the beginning letters of her names and possibly inspired by the German Weg meaning "way") in 1913. Once again the critical response, though improved, noted the lassitude and lack of passion in the verse.[11] Her Chinese Tales was published in Precepts magazine in 1913 and a collection of folk poems titled the Red Angel was published in 1914.[20]
With the outbreak of World War I in 1914, Gedroits worked on equipping the hospital and preparing the staff for war.[40] For example, nurses first learned how to dress wounds and prepare the various bandages, dressings, and equipment that would be needed for treatment, before being trained for surgical support.[41] She taught nursing techniques to the Tsarina and her daughters, Olga and Tatiana, and they became assistants to her in her surgical operations.[7][41] One of the other nurses she trained at Tsarskoye Selo, Countess Maria Dmitrievna Nirod, would later become Gedroits' life-long partner.[7] Raising funds from the nobles, the hospital was equipped to enable rapid treatment, so that soldiers would not have to be sent to Petrograd, as St. Petersburg was now known. Working with Eugene Botkin and Sergey Vilchievsky, she established networks linking infirmaries and supply trains, and planned evacuation routes for the wounded.[3][36]
By the end of 1914, Gedroits was mainly involved in serving as the palace physician.
When the
Kyiv
While recuperating, Gedroits moved in with Countess Nirod, with whom she lived for the remainder of her days.
In 1929, following Tcherniakhovsky's arrest, Gedroits became the departmental head of surgery. But the following year, during the
Death and legacy
Diagnosed with cancer in 1931, Gedroits died in March 1932, aged 61, of
Gedroits challenged established medical procedure at the beginning of the 20th century and her success with abdominal wound treatment played a part in changing international military medical policy.[23] She is remembered as a pioneer in applying laparotomy for the treatment of abdominal wounds on the battlefront.[28][22] She was one of Russia's first women to work as a surgeon,[41][55] the first woman to become a professor of surgery,[38][55] the first woman to work as a military doctor,[56] and the first woman to serve as a doctor in the imperial palace.[57] The hospital in Fokino, Bryansk Oblast was named in Gedroits' honor and a memorial plaque was dedicated to her memory in front of the former Tsarskoe Selo palace hospital in Pushkin, Saint Petersburg.[47][58]
Selected works
Scientific publications
By her own assessment in 1928, Gedroits published 58 scientific papers, which included articles and textbooks dealing with general surgery, as well as facial and dental reconstructions, military fieldwork, and pediatric surgery.[10] Most of her works were released in Russian,[38] though some were published in French, German, or Swedish.[10]
- Гедро́йц (Gedroits), В. И. (V. I.) (1902). "19 случаев коренной операции бедренной грыжи по способу проф. Roux (Lausanne)" [19 cases of radical surgery of the femoral hernia according to the method of Prof. Roux (Lausanne)]. Русский врач (in Russian) (28). St. Petersburg, Russia: 1026.[59]
- Гедро́йц (Gedroits), В. И. (V. I.) (1902). "Коренная операция бедренной грыжи по способу проф. Roux" [A major operation of the femoral hernia according to the method of Prof. Roux]. Русский врач (in Russian) (31). St. Petersburg, Russia: 1123.[59]
- Гедро́йц (Gedroits), В. И. (V. I.) (December 1903). "Отчет больницы завода Мальцевского портланд-цемента Калужской губ. Жиздринского уезда за 1901" [Report of the Hospital of the Maltsev Portland Cement Plant of the Kaluga Gubernia, Zhizdrinsky district for 1901]. Хирургия (in Russian). XIV. St. Petersburg, Russia: 698–699.[60]
- Гедро́йц (Gedroits), В. И. (V. I.) (27 July 1905). Отчет подвижного дворянского отряда [Report of the Mobile Noble Squadron] (Report) (in Russian). Bryansk, Russia: общество Брянских врачей.[60]
- Гедро́йц (Gedroits), В. И. (V. I.) (1906). Новый способ иссечения коленного сустава [A new way of excising the knee joint] (Report) (in Russian). Bryansk, Russia: общество Брянских врачей. p. 48.
- Гедро́йц (Gedroits), В. И. (V. I.) (1909). Отчет главного хирурга фабрик и заводов Мальцовского акционерного Общества [Report of the chief surgeon of the factories and plants of the Maltsovsky Joint Stock Company] (Report) (in Russian). Moscow, Russia: T-vo Skoropech.
- Гедро́йц (Gedroits), В. И. (V. I.) (1912). Отдаленные результаты операций паховых грыж по способу Rom на основании 268 операций: Дисс [Long-term results of inguinal hernia operations according to the Roux method on the basis of 268 operations: Dissertation] (doctorate) (in Russian). Moscow, Russia: University of Moscow.[60]
- Гедро́йц (Gedroits), В. И. (V. I.) (1914). Беседы о хирургии для сестер и врачей [Conversations on Surgery for Sisters and Doctors] (in Russian). St. Petersburg, Russia.
{{cite book}}
: CS1 maint: location missing publisher (link)[38] - Гедро́йц (Gedroits), В. И. (V. I.) (1924). "Биологическое обоснование питания" [Biological foundations of nutrition]. Вестник стоматологии (in Russian) (6): 19–26.[61]
- Гедро́йц (Gedroits), В. И. (V. I.) (1928). "Хирургическое лечение при туберкулезе колена" [Surgical treatment of tuberculosis of the knee]. Русск. клин (in Russian) (9): 693–704.[61]
Literary publications
In the archives of Razumnik Ivanov-Razumnik, Gedroits' collection of fictionalized autobiographies, Жизнь (Life), confirmed that four volumes, The Little Caftan, The Pole (as in person of Polish descent), The Separation and Shaman had been published. The unpublished volume Tornado was also discovered in this archive. The archive of personal effects Gedroits left to Irina Avdiyeva contained an unfinished poem, Великий Андрогин (старец Досифсй или Дарья) (The great Androgyne (the elder Dosifs or Darya) and a prose article Куски людей (Pieces of people), as well as a school notebook and two diaries from 1914.[50]
- Гедро́йц (Gedroits), Сергей (Sergei) (1910). Стихи и сказки [Poems and Fairytales] (in Russian). St. Petersburg, Russia: Русскай скоропопулярный. OCLC 228725552.
- Гедро́йц (Gedroits), Сергей (Sergei) (1910). "Страницы из жизни заводского врача" [Notes on the life of a factory doctor]. Светлый луч (in Russian) (2).[62]
- Гедро́йц (Gedroits), Сергей (Sergei) (1913). Вег [Veg (The Way or an acronym of her name)] (in Russian). St. Petersburg, Russia: Цеха поэтов.[62]
- Гедро́йц (Gedroits), Сергей (Sergei) (1930). Кафтанчик [The Little Caftan] (in Russian). Leningrad, USSR: Издательство писателей. OCLC 228725549.
- Гедро́йц (Gedroits), Сергей (Sergei) (1931). Лях [The Pole] (in Russian). Leningrad, USSR: Издательство писателей. OCLC 81171108.
- Гедро́йц (Gedroits), Сергей (Sergei) (1931). Отрыв [The Separation] (in Russian). Leningrad, USSR: Издательство писателей.[50]
- Гедро́йц (Gedroits), Сергей (Sergei) (c. 1931). Шамань [Shaman] (in Russian). Leningrad, USSR: Издательство писателей.[62]
Notes
References
Citations
- ^ a b c d Metz 1992, p. 291.
- ^ a b c d Bennett 1992, p. 1532.
- ^ a b c d e f g h i j k l m n o p q r s t u v w x y z aa ab ac ad ae Kozhemyakin 2010.
- ^ a b c Sosnovskaya 2015, p. 93.
- ^ a b c d e f g h i j k l m n o p q r s Vilensky 1996.
- ^ a b c d e f g h i j k l m n o p q r s t Khokhlov 1995.
- ^ a b c d e f g h i j k l m n o p q r s t u v w x y Maire 2012.
- ^ Sosnovskaya 2015, p. 92.
- ^ Sosnovskaya 2015, pp. 92–93.
- ^ a b c d e f g h i j Gedroits 2015, p. pt 1.
- ^ a b c d e f Metz 1992, p. 293.
- ^ Metz 1992, pp. 291–292.
- ^ a b c Metz 1992, p. 292.
- ^ a b Blokhina 2016a, p. 156.
- ^ Sosnovskaya 2015, p. 95.
- ^ a b Blokhina 2016b, p. 877.
- ^ Blokhina 2016a, p. 157.
- ^ a b Blokhina 2016a, p. 158.
- ^ Sosnovskaya 2015, pp. 96–97.
- ^ a b c d e f g h Bennett 1992, p. 1533.
- ^ a b Bennett 1992, pp. 1532–1533.
- ^ a b c Abade 1918, p. 282.
- ^ a b Whelan 1981, p. 5.
- ^ Wilson 2007, p. 160.
- ^ Abade 1918, p. 283.
- ^ Abade 1918, pp. 294–95.
- ^ Pruitt 2006.
- ^ a b Wilson 2007, p. 163.
- ^ a b Metz 1992, p. 310.
- ^ Romanov 1922b, p. 397.
- ^ Ivanovna 2016, p. 6.
- ^ Blokhina 2016b, p. 876.
- ^ Blokhina 2016b, pp. 878–879.
- ^ Moscow City Government n.d.
- ^ Blokhina 2016b, p. 879.
- ^ a b Metz 1992, p. 300.
- ^ Ivanovna 2016, p. 7.
- ^ a b c d e Wilson 2007, p. 166.
- ^ Blokhina 2016a, p. 159.
- ^ a b c d Metz 1992, p. 294.
- ^ a b c Rappaport 2014, p. 189.
- ^ Rappaport 2014, p. 198.
- ^ Romanov 1922a, p. 496.
- ^ Romanov 1922b, pp. 367, 373.
- ^ Maire 2012, p. 294.
- ^ Metz 1992, pp. 312, 316.
- ^ a b c Gedroits 2015, p. pt 2.
- ^ Metz 1992, p. 194.
- ^ Bennett 1992, pp. 1533–34.
- ^ a b c d Metz 1992, p. 295.
- ^ Cornwell 2002, p. 156.
- ^ Ivanovna 2016.
- ^ Izyaslav 2012.
- ^ Metz 1992, p. 314.
- ^ a b Ivanovna 2016, p. 1.
- ^ Ivanovna 2016, p. 10.
- ^ Ivanovna 2016, p. 3.
- ^ City of Pushkin 2010.
- ^ a b c Blokhina 2016a, pp. 157, 160.
- ^ a b c d Blokhina 2016b, p. 880.
- ^ a b Bennett 1992, p. 1534.
- ^ a b c Metz & Zaverny 1989.
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Further reading
- Хохлов (Khokhlov), Владимир Георгиевич (Vladimir Georgievich) (2011). Цвет жизни белой [The white light of life] (in Russian). Bryansk, Russia: Брянское СРП ВОГ. ISBN 978-5-903513-36-9.