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Death of Abraham Colles, Professor & President of the RCSI

Abraham Colles, Professor of Anatomy, Surgery and Physiology at the Royal College of Surgeons in Ireland (RCSI) and the President of RCSI in 1802 and 1830, dies on November 16, 1843. A prestigious Colles Medal & Travelling Fellowship in Surgery is awarded competitively annually to an Irish surgical trainee embarking on higher specialist training abroad before returning to establish practice in Ireland.

Descended from a Worcestershire family, some of whom had sat in Parliament, Colles is born to William Colles and Mary Anne Bates of Woodbroak, County Wexford, on July 23, 1773. The family lives near Millmount, a townland near Kilkenny, County Kilkenny, where his father owns and manages his inheritance which is the extensive Black Quarry that produces the famous Kilkenny black marble. His father dies when he is 6 years old, but his mother takes over the management of the quarry and manages to give her children a good education. While at Kilkenny College, a flood destroys a local physician’s house. He finds an anatomy book belonging to the doctor in a field and returns it to him. Sensing the young man’s interest in medicine, the physician lets him keep the book.

Colles goes on to enroll in Trinity College Dublin in 1790 and is indentured to Philip Woodroffe, studying at Dr. Steevens’ Hospital, The Foundlings’ Hospital and the House of Industry hospitals. He receives the Licentiate Diploma of the Royal College of Surgeons in 1795 and goes on to study medicine at the University of Edinburgh Medical School, receiving his MD degree in 1797. Afterward, he lives in London for a short period, working with the famous surgeon Sir Astley Cooper in his dissections of the inguinal region.

Following his return to Dublin, in 1799, Colles is elected to the staff at Dr. Steevens’ Hospital where he serves for the next 42 years. In October 1803, he is appointed Surgeon to Cork-street Fever Hospital, and subsequently becomes Consulting Surgeon to the Rotunda Hospital, City of Dublin Hospital, and Victoria Lying-in Hospital. He is a well-regarded surgeon and is elected as president of the Royal College of Surgeons in Ireland (RCSI) in 1802 at the age of 28 years, subsequently also serving as president in 1830. In 1804, he is appointed Professor of Anatomy, Physiology, and Surgery at RCSI.

In 1811, Colles writes an important treatise on surgical anatomy and some terms he introduces have survived in surgical nomenclature until today. He is remembered as a skillful surgeon and for his 1814 paper On the Fracture of the Carpal Extremity of the Radius. This injury continues to be known as Colles’ fracture. This paper, describing distal radial fractures, is far ahead of its time, being published decades before X-rays come into use. He also describes the membranous layer of subcutaneous tissue of the perineum, which comes to be known as Colles’ fascia. He also extensively studies the inguinal ligament, which is sometimes called Colles’ ligament. He is regarded as the first surgeon to successfully ligate the subclavian artery.

In 1837, Colles writes “Practical observations on the venereal disease, and on the use of mercury” in which he introduces the hypothesis of maternal immunity of a syphilitic infant when the mother has not shown signs of the disease. His principal textbook is the two-volume Lectures on the theory and practice of surgery. His writings are important, though not voluminous. Some of his papers are collected and edited by his son, William Colles, and published in the Dublin Journal of Medical Science. Selections from the works of Abraham Colles, chiefly relative to the venereal disease and the use of mercury, comprise Volume XOII. of the Library of the New Sydenham Society, published in 1881. They are edited and annotated by one of the most distinguished Fellows of the RCSI, Robert McDonnell. His Lectures on Surgery are edited by Simon McCoy and published in 1850. In tribute to his distinguished career, he is awarded a baronetcy in 1839, which he refuses.

Upon Colles’s retirement as Professor of Surgery, the Members of RCSI pass a resolution which includes “We have also to assure you that it is the unanimous feeling of the College, that the exemplary and efficient manner in which you have filled this chair for thirty-two years, has been a principal cause of the success and consequent high character of the School of Surgery in this country.”

Colles dies on November 16, 1843, from gout. He is buried in Mount Jerome Cemetery, Dublin.

In 1807, Colles marries Sophia Cope. His son William follows in his footsteps, being elected to the Chair of Anatomy in the Royal College of Surgeons in Ireland in 1863. Another of his sons, Henry, marries Elizabeth Mayne, a niece of Robert James Graves. His grandson is the eminent music critic and lexicographer H. C. Colles. His granddaughter Frances marries the judge Lord Ashbourne, and her sister Anna marries his colleague Sir Edmund Thomas Bewley.


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Birth of Ophthalmologist Arthur Jacob

Arthur Jacob, Irish ophthalmologist, is born on June 13, 1790, at Knockfin, near Maryborough, Queens County (now Portlaoise, County Laois). He is known for founding several hospitals, a medical school, and a medical journal. He contributes to science and academia through his 41-year term as Professor of Anatomy at the Royal College of Surgeons in Ireland (RCSI) and as the first Irish ocular pathologist. He is elected President of RCSI in 1837 and 1864.

Jacob is the second son of John Jacob, M.D. (1754–1827), surgeon to the Queen’s County infirmary, Maryborough, by his wife Grace (1765–1835), only child of Jerome Alley of Donoughmore. He studies medicine with his father and at Dr. Steevens’s Hospital, Kilmainham, Dublin, under Abraham Colles. Having graduated M.D. at the University of Edinburgh in 1814, he sets out on a walking tour through the United Kingdom, crossing the English Channel at Dover, and continuing his walk from Calais to Paris.

Jacob studies at Paris until Napoleon‘s return from Elba. He subsequently pursues his studies in London under Sir Benjamin Collins Brodie, Sir Astley Cooper, and Sir W. Lawrence. In 1819 he returns to Dublin and becomes demonstrator of anatomy under Dr. James Macartney at Trinity College Dublin. Here his anatomical research gains for him a reputation, and he collects a museum, which Macartney afterwards sells to the University of Cambridge.

On leaving Macartney, Jacob joins with Robert James Graves and others in founding the Park Street School of Medicine. In 1826 he is elected Professor of Anatomy and Physiology at Royal College of Surgeons in Ireland (RCSI) and holds the chair until 1869. He is elected President of RCSI in 1837 and 1864. He founds an Ophthalmic Hospital in Pitt (now Balfe) Street in 1829 and in 1832, in conjunction with Charles Benson and others, he founds the Baggot Street Hospital, Baggot Street, and later practices there after the opening of a dedicated eye ward. His younger rival, Sir William Wilde, subsequently founds the competing St. Mark’s Ophthalmic Hospital in Lincoln Place (beside Trinity College) in 1844.

In 1839, with Dr. Henry Maunsell, Jacob starts the Dublin Medical Press, a weekly journal of medical science, and edits forty-two volumes from 1839 to 1859, in order “to diffuse useful knowledge… to instil honourable principles, and foster kind feelings in the breast of the student” among other desirable aims. He also contributes to the Dublin Journal of Medical Science. He takes an active part in founding the Royal Medical Benevolent Fund Society of Ireland and the Irish Medical Association.

At the age of seventy-five Jacob retires from the active pursuit of his profession. His fame rests on his anatomical and ophthalmological discoveries.

In December 1860 a medal bearing Jacob’s likeness is struck and presented to him, and his portrait, bust, and library are later placed in the Royal College of Surgeons in Ireland. He dies at Newbarnes, Barrow-in-Furness, Cumbria, England, on September 21, 1874. He is buried at Mount Jerome Cemetery, Dublin.

In 1819 Jacob announces the discovery, which he had made in 1816, of a previously unknown membrane of the eye, in a paper in the Philosophical Transactions of the Royal Society. The membrane has been known since as membrana Jacobi and forms the retina. Apart from his discovery of the membrana Jacobi, he describes Jacob’s ulcer, and revives cataract surgery through the cornea with a curved needle, Jacob’s needle. To the Cyclopædia of Anatomy he contributes an article on the eye, and to the Cyclopædia of Practical Medicine treatises on Ophthalmia and Amaurosis.

In 1824 Jacob marries Sarah, daughter of Coote Carroll, of Ballymote, County Sligo. The marriage produces five sons. She dies on January 6, 1839.

(Pictured: Photograph of a marble bust of Arthur Jacob on the main staircase of the Royal Victoria Eye and Ear Hospital, Dublin, Ireland)


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Death of John Moore Neligan, Physician & Medical Teacher

atlas-of-cutaneous-diseasesJohn Moore Neligan, one of the foremost physicians and medical teachers of his day, dies on July 24, 1863. Neligan, son of a medical practitioner, is born at Clonmel, County Tipperary, in 1815. He graduates M.D. at Edinburgh in 1836, and begins practice in his birthplace. He later moves to Cork, where he lectures on materia medica and medical botany in a private school of anatomy, medicine, and surgery in Warren’s Place.

In 1840 he takes a house in Dublin, and in 1841 is appointed physician to the Jervis Street Hospital. He also gives lectures on materia medica from 1841 to 1846, and on medicine from 1846 to 1857, in the Dublin school of Peter Street. He publishes in 1844 Medicines, their Uses and Mode of Administration, which gives an account of all the drugs mentioned in the London, Scottish, and Irish pharmacopœias, and of some others. Their sources, medicinal actions, doses, and most useful compounds are clearly stated. The compilation, though containing no original matter, is useful to medical practitioners, and goes through many editions.

Neligan enjoys the friendship of Robert James Graves, the famous lecturer on medicine, and in 1848 edits the second edition of his Clinical Lectures on the Practice of Medicine. In the same year he publishes The Diagnosis and Treatment of Eruptive Diseases of the Scalp, which is printed at the Dublin University Press. He describes as inflammatory diseases herpes, eczema, impetigo, and pityriasis, and as non-inflammatory porrigo, and gives a lucid statement of their characteristics in tabular form. He is unaware, however, of the parasitic nature of herpes capitis, as he calls ringworm, and seems not to have noticed the frequent relation between eczema of the occiput and animal parasites.

From 1849 to 1861 he edits the Dublin Quarterly Journal of Medical Science, and publishes many medical papers of his own in it. In 1852 he publishes A Practical Treatise on Diseases of the Skin, and, like most men who attain notoriety as dermatologists, issues in 1855 a coloured Atlas of Skin Diseases. His treatise is a compilation from standard authors, with a very small addition from his own experience. The subject is well arranged, and so set forth as to be useful to practitioners. It is much read, and leads to his treating many patients with cutaneous affections.

Neligan suffers from kidney disease in his final years. On July 17, he begins to feel unwell and returns to his country residence, Clonmel House, and goes to bed, from which he never rises again. Over the next few days his kidneys ceased to function altogether and he slips into a coma. John Moore Neligan dies on July 24, 1863.