Isaac Baker Brown
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Isaac Baker Brown (1811 – 3 February 1873) was a prominent 19th-century English
gynaecologist Gynaecology or gynecology (see spelling differences) is the area of medicine that involves the treatment of women's diseases, especially those of the reproductive organs. It is often paired with the field of obstetrics, forming the combined ar ...
and
obstetrical Obstetrics is the field of study concentrated on pregnancy, childbirth and the postpartum period. As a medical specialty, obstetrics is combined with gynecology under the discipline known as obstetrics and gynecology (OB/GYN), which is a surgic ...
surgeon In modern medicine, a surgeon is a medical professional who performs surgery. Although there are different traditions in different times and places, a modern surgeon usually is also a licensed physician or received the same medical training as ...
. He had a reputation as a specialist in the diseases of women and advocated certain surgical procedures, including clitoridectomies, as cures for
epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrica ...
and
hysteria Hysteria is a term used colloquially to mean ungovernable emotional excess and can refer to a temporary state of mind or emotion. In the nineteenth century, hysteria was considered a diagnosable physical illness in women. It is assumed that ...
. In 1867, his career ended when he was accused of performing these procedures without consent of the patients. He was subsequently expelled from the
Obstetrical Society of London The Obstetrical Society of London existed from 1858 to 1907. History The Society was set up in 1858, the successor to an Obstetric Society dating from 1825, and in the aftermath of the Medical Act 1858. The founding group included James Hobson Ave ...
.


Biography


Early life

Baker Brown was born in 1811 in
Colne Engaine Colne Engaine is a village and a civil parish in Essex, England, situated just north of the River Colne and of the larger village of Earls Colne, approximately ten miles northwest of Colchester. The village takes its name from the river, around ...
, Essex.Roy His parents were farmer Isaac Baker Brown, and Catherine (née Boyer), the daughter of a schoolmaster. He went to school in Halstead, Essex, and became an apprentice to a surgeon called Gibson. He studied at
Guy's Hospital Guy's Hospital is an NHS hospital in the borough of Southwark in central London. It is part of Guy's and St Thomas' NHS Foundation Trust and one of the institutions that comprise the King's Health Partners, an academic health science centre. ...
, London and specialised in
midwifery Midwifery is the health science and health profession that deals with pregnancy, childbirth, and the postpartum period (including care of the newborn), in addition to the sexual and reproductive health of women throughout their lives. In many ...
and diseases of women. He married Anne Rusher Barron on 18 June 1833, in
Colchester Colchester ( ) is a city in Essex, in the East of England. It had a population of 122,000 in 2011. The demonym is Colcestrian. Colchester occupies the site of Camulodunum, the first major city in Roman Britain and its first capital. Colch ...
, Essex. Following Anne's death he married his second wife, Catherine Read, on 21 May 1863.


Career

Baker Brown opened a medical practice in Connaught Square, London in 1834 and soon became known as a specialist in gynaecology. In 1845, he was one of the founders of
St Mary's Hospital, London St Mary's Hospital is an NHS hospital in Paddington, in the City of Westminster, London, founded in 1845. Since the UK's first academic health science centre was created in 2008, it has been operated by Imperial College Healthcare NHS Tru ...
. He was elected a
Fellow A fellow is a concept whose exact meaning depends on context. In learned or professional societies, it refers to a privileged member who is specially elected in recognition of their work and achievements. Within the context of higher education ...
of the
Royal College of Surgeons The Royal College of Surgeons is an ancient college (a form of corporation) established in England to regulate the activity of surgeons. Derivative organisations survive in many present and former members of the Commonwealth. These organisations ...
in 1848.Sheehan, p. 326 In 1858 he founded the London Surgical Home for Women and worked on advancing surgical procedures. He began to perform ovariotomies on women, including his own sister. In 1864, he was the first person to describe a surgical treatment for stress incontinence involving a suprapubic cystostomy procedure. He was elected president of the Medical Society of London in 1865. In 1866, Baker Brown described the use of
clitoridectomy Clitoridectomy or clitorectomy is the surgical removal, reduction, or partial removal of the clitoris. It is rarely used as a therapeutic medical procedure, such as when cancer has developed in or spread to the clitoris. It is often performed on ...
as a cure for several conditions, including
epilepsy Epilepsy is a group of non-communicable neurological disorders characterized by recurrent epileptic seizures. Epileptic seizures can vary from brief and nearly undetectable periods to long periods of vigorous shaking due to abnormal electrica ...
, catalepsy and
mania Mania, also known as manic syndrome, is a mental and behavioral disorder defined as a state of abnormally elevated arousal, affect, and energy level, or "a state of heightened overall activation with enhanced affective expression together wi ...
, which he attributed to
masturbation Masturbation is the sexual stimulation of one's own genitals for sexual arousal or other sexual pleasure, usually to the point of orgasm. The stimulation may involve hands, fingers, everyday objects, sex toys such as vibrators, or combinat ...
.Fennell, p. 66 In ''On the Curability of Certain Forms of Insanity, Epilepsy, Catalepsy, and Hysteria in Females'', he gave a 70 per cent success rate using this treatment. During 1866, Baker Brown began to receive negative feedback from within the medical profession from doctors who opposed the use of clitoridectomies and questioned the validity of Baker Brown's claims of success. An article appeared in ''
The Times ''The Times'' is a British daily national newspaper based in London. It began in 1785 under the title ''The Daily Universal Register'', adopting its current name on 1 January 1788. ''The Times'' and its sister paper '' The Sunday Times'' ( ...
'' in December, which was favourable towards Baker Brown's work but suggested that Baker Brown had treated women of unsound mind. The London Surgical Home was not licensed for this under the Lunacy Act and when the
Lunacy Commission The Commissioners in Lunacy or Lunacy Commission were a public body established by the Lunacy Act 1845 to oversee asylums and the welfare of mentally ill people in England and Wales. It succeeded the Metropolitan Commissioners in Lunacy. Previo ...
began to ask questions, Baker Brown denied it and tried to distance himself from the article.Fennell, p. 69 He was also accused of performing clitoridectomies without the
consent Consent occurs when one person voluntarily agrees to the proposal or desires of another. It is a term of common speech, with specific definitions as used in such fields as the law, medicine, research, and sexual relationships. Consent as und ...
or knowledge of his patients or their families. In 1867 he was expelled from the Obstetrical Society of London for carrying out the operations without consent.Vergnani Baker Brown's career did not recover and he died on 3 February 1873 in London following a year spent as an invalid.


Bibliography

*1854: ''On some Diseases of Women Admitting of Surgical Treatment'' *1866: ''On the Curability of Certain Forms of Insanity, Epilepsy, Catalepsy, and Hysteria in Females''


Footnotes


References

* * * * * * * {{DEFAULTSORT:Brown, Isaac Baker 1811 births 1873 deaths 19th-century English medical doctors English gynaecologists English surgeons Medical controversies in the United Kingdom People from Braintree District