I am retracing the steps by which the novel Magnificent Obsession became a bestseller. I’ve already mentioned the support the book received from local newspapers and from people within the medical profession. Today we’ll see how those two factors intersected: a development in medical technology mirrored an important series of events in the novel, and this fact was reported in at least one newspaper.
In the novel, Dr. Merrick is trying to decrease mortality during brain surgery by inventing a tool that simultaneously cuts brain tissue and cauterizes the area around it, preventing bleeding. He has the general idea, but he can’t quite figure out how to place the vacuum tubes. This is all crucial to the plot because, as he meets the requirements of Dr. Hudson’s “theory” (or in other words, does what Jesus teaches in the opening verses of Matthew 6), he has a moment of clarity in which he sees the details that have been eluding him. Not only does he build the device and revolutionize brain surgery, but he also experiences the reality of God in the process.
Douglas didn’t make this up off the top of his head. In an interview with the Montreal Gazette (reported 11/25/1932), he said, “I started Magnificent Obsession while I was in California, before I came to Montreal. There I knew Dr. Carl Wheeler Rand, who is considered the most eminent brain surgeon on the west coast. I went to him and told him I had a strong desire to have a character in my book invent some surgical device and asked him if any work was being done along that line. He said that tentative experiments had been made with an electric cautery, but they had never been successful. He added that if I used the idea, it was possible there would be a few surgeons who would be interested in the fact.” Then he added, “Dr. Rand gave me nothing by way of detail, and when young Dr. Merrick thought in his dream of rearranging his vacuum tubes, it was my own idea.”
The Gazette interviewed Douglas because of a news item that had come to them over the wire from Des Moines, Iowa, where a man named Paul C. Rawls had demonstrated for local surgeons a device just like the one Merrick invents in Magnificent Obsession. The Gazette quoted the dispatch from Des Moines as saying, “Paul C. Rawls, the inventor who was granted a patent yesterday, explained how the use of vacuum tubes enabled him to obtain higher frequency electric current, thereby making possible the new knife.”
In their headline, the Gazette claimed that Douglas had “the Jules Verne touch.” They were referring to the science fiction writer whose novels anticipated many technological breakthroughs.
Below is a copy of the first page of Mr. Rawls’s patent. Click here for the link to Patent Number 1,945,867 on Google Patents. Below is an image of the diagram included with that patent.
What mystifies me about all this is that, in 1926, three years before the publication of Magnificent Obsession, Dr. Harvey Cushing invented a device which (if I am not mistaken) fits the same general description. As Elizabeth H. Thomson notes in her biography, Harvey Cushing: Surgeon, Author, Artist (New York: Henry Schuman, 1950), Cushing realized as a medical student at Harvard in 1894 that bleeding would have to be controlled before brain surgery could be done successfully (p. 62). By 1910 he had begun using silver clips (p. 171), which helped somewhat; but he kept working on the problem.
Thomson writes: “In the autumn of 1926, Cushing used for the first time an electric cautery apparatus in a brain operation. In general surgery and in genito-urinary surgery, high-frequency currents had been used for some time in dealing with both benign and malignant growths, but it was Cushing who established their value in neurological surgery. With the cooperation of Dr. W. T. Bovie, a physicist with the Harvard Cancer Commission who had previously developed apparatus for dealing with cancerous growths, he experimented with currents and equipment until they had one current that would cut tissue without attendant bleeding and another that would coagulate a vessel which might have to be cut during the course of an operative procedure” (pp. 247-248).
There is no mention of vacuum tubes, but the device itself sounds very much like the one Merrick invents in Douglas’s novel. This in no way diminishes Douglas’s reputation as a novelist, but if we’re going to talk about the real-world invention of this device, it seems to me that Dr. Cushing beat P. C. Rawls. However, based on Douglas’s conversation with Dr. Carl Wheeler Rand, which I presume took place in 1928 when Douglas was writing the novel, Dr. Rand and his West Coast associates had so far been unable to reproduce Dr. Cushing’s work with complete success.
What this means for Douglas is that he was aware of the problem that brain surgeons were trying to solve in the last years of the 1920s, and he built that problem and its likely solution into his novel. This made his novel current and fresh and based on facts – something you don’t normally get from a novel.
Below, also from Douglas’s Magnificent Obsession scrapbook, is a clipping about a doctor in Boston demonstrating a similar device. This clipping doesn’t say whether it’s the one invented by Harvey Cushing (in Boston) or the one invented by P. C. Rawls, or maybe a third invention. At any rate, it’s another instance that shows how current Douglas’s novel was, and why so many health professionals were interested in his book.
The Lloyd C Douglas Page 