Toby Levitt
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Tobias Levitt (2 February 1908 – 22 February 1958) was a South African medical doctor who wrote a textbook on the thyroid.


Career

A distinguished student at the University of Cape Town, obtaining first class honours in anatomy (1929) and physiology (1930), Levitt was an outstanding anatomist and assistant lecturer in the University for a short time before continuing his medical education at the Middlesex Hospital in London, qualifying in 1934. After working as demonstrator of anatomy at the Middlesex, Levitt was house surgeon at Bedford County Hospital and Gloucester Royal Infirmary and surgical assistant medical officer at the
Paddington General Hospital Paddington General Hospital was a health facility in Harrow Road, Paddington, London London is the capital and List of urban areas in the United Kingdom, largest city of England and the United Kingdom, with a population of just under 9 mil ...
. He was a fellow of the Royal Colleges of Surgeons of Ireland (1934), Edinburgh (1946) and England (1948); he was almost unique in obtaining all three surgical Fellowships by examination in the days before the primary was "reciprocal."Obituary, Br Med J 1958, 1, 526 During the Second World War Levitt served as a major as surgical specialist in the
Royal Army Medical Corps The Royal Army Medical Corps (RAMC) is a specialist corps in the British Army which provides medical services to all Army personnel and their families, in war and in peace. The RAMC, the Royal Army Veterinary Corps, the Royal Army Dental Corps a ...
, seeing service in North Africa and Italy – where he found a love of Italian art and architecture, to appreciate which he learned Italian.Letters, Br Med J 1958, 1, 650 After the war he became surgical first assistant to the Thyroid Clinic at the
New End Hospital New End Hospital was a hospital in Hampstead, north London. It was founded in 1869 as the infirmary for the Hampstead Union workhouse, and operated until 1986. The buildings have now been redeveloped as housing. History New End Hospital was foun ...
,
Hampstead Hampstead () is an area in London, which lies northwest of Charing Cross, and extends from Watling Street, the A5 road (Roman Watling Street) to Hampstead Heath, a large, hilly expanse of parkland. The area forms the northwest part of the Lon ...
, gaining wide experience in thyroid
surgery Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
and making his mark in researches in endocrinology, publishing several papers on the subject. The knowledge he gained at the New End thyroid clinic – where for a long time he was associated with
Sir Geoffrey Keynes Sir Geoffrey Langdon Keynes ( ; 25 March 1887, Cambridge – 5 July 1982, Cambridge) was a British surgeon and author. He began his career as a physician in World War I, before becoming a doctor at St Bartholomew's Hospital in London, where he ...
and Mr JE Piercy – culminated in his election to a Hunterian Professorship of the Royal College of Surgeons in 1952. On his appointment, he reportedly held his audience spellbound with his address – “a model of its kind” – on The Status of Lymphadenoid Goitre,
Hashimoto's Disease Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis and Hashimoto's disease, is an autoimmune disease in which the thyroid gland is gradually destroyed. Early on, symptoms may not be noticed. Over time, the thyroid may enla ...
and Riedel's Disease. His huge experience and research culminated in the publication in 1954 of his magnum opus, The Thyroid: A Physiological, Pathological, Clinical and Surgical Study. The book, which was translated into Italian in 1955 and remained a standard textbook for several decades, provoked world-wide discussion. He was lecturer in surgery to the Fellowship of
Postgraduate Medicine ''Postgraduate Medicine'' is a bimonthly peer-reviewed medical journal published by Informa Healthcare. It was established in 1916 with Charles William Mayo as its first editor-in-chief. The current editor-in-chief is Howard A. Miller (Drexel Uni ...
at the New End Hospital for a number of years. Early in 1952 he had the first of several attacks of coronary thrombosis, which returned in 1955 during an extensive lecture tour in the United States under the auspices of the Kellogg Foundation and the International College of Surgeons. He battled bravely on for several years in spite of ill-health which was a constant concern to those who knew him, but about which he seldom spoke. His health precluded him from continuing work as an operating surgeon, but in spite of this disappointment he achieved happiness through his interest in endocrinology in relation to cancer, and was attached to the Royal Marsden Hospital in a research capacity where he dedicated himself to finding answers to various problems in this field. He used the Hunterian method, collecting the facts (recorded in his note-books in his neat handwriting), classifying them with enthusiasm before making his deductions, which he explained with lucidity. He was a very sick man in his final years and was at work on a book on
carcinoma Carcinoma is a malignancy that develops from epithelial cells. Specifically, a carcinoma is a cancer that begins in a tissue that lines the inner or outer surfaces of the body, and that arises from cells originating in the endodermal, mesodermal ...
and the thyroid when he died, in the Charing Cross Hospital, of coronary thrombosis, on 22 February 1958 at the age of fifty years.


Selected publications

* * *The Thyroid, a physiological, pathological, clinical, and surgical study. Edinburgh, Livingstone 1954. The 606-page text book was reviewed in


Personal life

Levitt was one of four children born to Benzion (Ben) and Jenny Levitt, Jewish immigrants from
Lithuania Lithuania (; lt, Lietuva ), officially the Republic of Lithuania ( lt, Lietuvos Respublika, links=no ), is a country in the Baltic region of Europe. It is one of three Baltic states and lies on the eastern shore of the Baltic Sea. Lithuania ...
who ran commercial hotels in Franschhoek and Cape Town. Levitt's many obituaries (including in The Lancet,Lancet 1958, 1, 486 the
British Medical Journal ''The BMJ'' is a weekly peer-reviewed medical trade journal, published by the trade union the British Medical Association (BMA). ''The BMJ'' has editorial freedom from the BMA. It is one of the world's oldest general medical journals. Origi ...
and the Medical Proceedings - Mediese Bydraes, a South African journal) describe him as a generous, sincere, modest and genial gentleman of high moral principles. An excellent and inspiring teacher, it was said of him that he poured out his life's blood for his students, often refusing financial recompense, and that many who had abandoned hope of ever passing their examinations found new hope with him. Levitt was a constant reader in the Library of the Royal College of Surgeons during the years between the end of the war and his final illness. He had practiced at 10 Harley Street. He never married, and was buried in the Jewish cemetery at Bushey, Watford.


References

{{DEFAULTSORT:Levitt, Toby 1908 births 1958 deaths University of Cape Town alumni Royal Army Medical Corps officers South African surgeons 20th-century surgeons British Army personnel of World War II South African people of Lithuanian-Jewish descent