This presentation discusses physician membership in the American Society of Anesthesiologists in Alabama in the years specified.

1. ASA Membership in Alabama:
The Early Years, 1940-1959
Mark Mandabach, M.D.
A.J. Wright, M.L.S.
David H. Chestnut, M.D., Section on Anesthesia History
UAB Anesthesiology

2.  LaGrange College, nw
Alabama [1830-62]
 Professor Tutwiler’s
chemistry class
 Reported by student
Thomas Hubbard Hobbs
of Athens, Ala.
 Hobbs’ journals, Hoole Special
Collections library, UA
 http://recall-lagrange.00me.com

3. •Wright AJ. Early Use of General Anesthesia in
Alabama, 1847-1853. Ala J Med Sci 1986 July;
23(3):333-335
•Wright AJ. Regional and Local Anesthesia in
Alabama Before World War I. Ala J Med Sci
1988 April; 25(2):204-209

4.  Tooth extraction, Huntsville
 Albert A. Cary, dentist
 Attorney C.C. Clay, Jr., Patient
 Date appeared in Cary’s May 12, 1847,
newspaper ad

5.  Hardy V. Wooten, M.D.
 Lowndesboro obstetric case
 Reported use in Trans MASA, 1850
 “I have made more or less use of chloroform in
those cases, pretty constantly, for the last two
years.”

6.  William H. Sanders, M.D. (Mobile)
Reported 19 cases of eye surgery at
MASA meeting, April 1885
 Benjamin J. Baldwin, M.D. (Montgomery)
Reported 25 cataract cases at MASA
meeting, April 1886

7.  “It is of course unnecessary to emphasize the fact
that the anaesthetist should give his entire
attention to the patient from the beginning to the
end of the operation. I have recently adopted the
ether chart, devised by Dr. Cushing of Johns
Hopkins Hospital…”

8.  University Tennessee Medical School, 1896
 Practiced in Selma
 “I believe that nothing so trains a person to
become skilled in the administration of
anaesthetics as the routine employment of the
charts.”
 Wright AJ. Early use of the Cushing-Codman anesthesia record.
Anesthesiology 1987 Jan;66(1):92

9.  Samuel A. Billing, M.D. (Montgomery)
Amputation of crushed toes
 Samuel G. Gay, M.D. (Selma)
Eight cases labor or gynecological surgery
 Both remained skeptical of the technique due to
complications
Trans MASA 1901

10.  Licensed, 1901
 Visited Mayo Clinic, ca. 1907
 Gynecologist, Birmingham
 Speaker, American Association of Anesthetists,
1912
 Published 26 medical articles, 1904-1919

11. “When this anesthetic [N2O/O2] was first
introduced into the surgical work in this city by
Dr. James R. Dawson and myself several years
ago, we were open to much criticism, but we
note with pride that many surgeons are now
using it.”
Edmund Mortimer Prince, M.D., 1912

13.  Vanderbilt Medical School, 1903
 Birmingham, AL career circa 1905-1915
 Worked w/Edmund M. Prince, M.D.
 AMA listed his specialty as “obstetrics” in 1929
 Remainder of career spent in two small Alabama
towns

14.  Jasper, Alabama [north of Birmingham]
 Listed on Southern Association of Anesthetists
program
 November 14-15, 1927, meeting in Memphis
 Member of Executive Committee

15. Birmingham Medical College, 1912
Studied under Crile at the Cleveland Clinic in 1914 (his honeymoon)
Member:
◦ American Assoc. of Anesthetists, 1916 -1920
◦ Assoc. of Anesthetists of U.S. & Canada, 1920
Two anesthesia publications Trans MASA: 1916 & 1922
◦ General Anesthesia: Its relation to postoperative Acidosis
◦ The importance of the proper selection of an anesthetic for surgical
procedure

16. Created by Dustin English, M.D., March 2010
[UAB anesthesia resident]

17. 1940 2
1942 2
1943 5
1947 8
1949 11
1959 35
1962 49
1970 71

18.  Robert L. Allen, Tuskegee [1940, 1942-1943]
 Alfred Habeeb, Fairfield [1940, 1942-1943]
 Donald C. Tullocli, Gunter Field [1943]
 Robert F. Corwin, Maxwell Field [1943]
 Seymour Schotz, Maxwell Field [1943]

19.  Walter A. Hornaday, Birmingham
 Alice McNeal, Birmingham
 Hiram R. Elliott, Fairfield
 Alfred Habeeb, Fairfield
 E. Bryce Robinson, Fairfield
 Richard Kay [Lt.], Montgomery
 William F. May, Montgomery
 Robert Leroy Allen, Tuskegee

20.  Ivory Suit, Lineville 1952 and 1954; Birmingham,
1956
 Hal D. Broadhead, Montgomery 1952 and 1954
[first UAB anesthesia resident, 1948]
 Joyce Robson Chapman, Selma 1954 and 1956;
Birmingham 1959 and 1960
 Ernestine Hilliard Berg, Birmingham 1959;
Huntsville 1960
 Elizabeth G. Dowdy, Birmingham 1960

21. *Named health
superintendent TCI
Hospital 1949
*Retired in 1972
*AMA V-P 1973-74
*d. 12-9-1981 [at Lloyd
Noland Hospital]
*Photo ca. 1949, courtesy of
WLM

22. Agent/method cases
Cyclopropane 807
Spinal 633
Ether 190
N20/ether 11
Source: J Med Assoc State Ala 7:321, 1938

23.  Anesthesia residency,
1940 at Employee’s
Hospital, TCI [Lloyd
Noland Hospital]
 Co-founder, Anesthesia
Services of Birmingham,
one of the South's largest
anesthesia group
practices
 Habeeb Chair
[first in our department]

24.  Born 26 Dec. 1897
[Hinsdale, Illinois]
 Chicago career: 1922-
1946
 Birmingham career:
1946-1962
 Chair: 1948-1961
 Died December 31, 1964

25.  Jefferson Hospital, ca.
1945
 New wing of Hillman
Hospital, dedicated in
Jan. 1929, in
foreground behind
trees

26.  337 diplomats of Am. Board of Anes.
 2400 members of ASA
 102 hospitals with residency programs
 366 residents
 6,280 hospitals in the U.S.

27.  Hiram Elliott, M.D.
 Alfred Habeeb, M.D.
 Alice McNeal, M.D.
 E. Bryce Robinson, Jr., M.D.
 At Dr. Robinson’s home in Birmingham

28.  “Dr. Hiram Elliott recalled how the little group gave birth to
organized anesthesiology in the state. ‘We got together—the four of
us, Dr. McNeal, Dr. Robinson, Dr. Habeeb and I—at Dr. Robinson’s
house one night, and we organized the Jefferson County Society of
Anesthesiologists,’ said Elliott. ‘At the same time, we decided we
might as well organize the State Society of Anesthesiologists. So
we organized both of them that same night.’” [Anita Smith, The
Boss: Lloyd Noland, M.D., 1986, p. 260]
 The application for a charter by the state society was approved by
the ASA on May 4, 1948. [ASA Newsletter 12(6):3, June 1948]

29. Dr. McNeal in a case in the Hill Heart Suite, University Hospital,
Birmingham, early 1960s [photo by Alvin Bearman, M.D.]

31.  1961: stepped down as Chair
 1962: retired from department
 Died December 31, 1964
 As she requested, she was cremated and her
ashes scattered in Europe by her friends, Dr. and
Mrs. Joseph Volker
 She has a tombstone in Elmwood Cemetery

32.  Experienced anesthesiologist who founded a dept.
in difficult situation of brand-new medical school
 Founded hospital’s School for Nurse Anesthetists
 Obtained ABA certification for residency program
[Feb. 1949]
 Founding member of ASSA

33.  Trained a large number of residents, dental
students and nurse anesthetists
 Pioneered anesthesia’s contributions to chest
surgery and extracorporeal techniques at the
hospital early-mid 1950s
 Guided over 9700 anesthetics in 1950 alone
 First female anesthesiologist in Alabama
 First female Chair of an academic anesthesia
department in the United States

35.  First successful heart surgery in the US
 September 15, 1902 - Montgomery, Alabama
 Henry Myrick suffered a stab wound to the heart –
1:00 am – kerosene light – chloroform anethsesia –
kitchen table – Dr. Hill’s brother R.S. Hill held the
beating heart while L.L. Hill passed a cat gut suture
through the wound and stopped the bleeding
 Reported in the Birmingham Age-Herald on
10/26/1902
 The boy succumbed several years later to a similar
stab wound to the chest during an altercation in
Chicago

38.  Anesthesia residency, 1940 at
Employee’s Hospital, TCI
[Lloyd Noland Hospital]
 Co-founder, Anesthesia
Services of Birmingham, one
of the South's largest
anesthesia group practices
 Habeeb Chair first in our
department

39. Profiles of Dr. Habeeb:
 McDonald WH.
A long way from
Bishmizzin.
J Med Assoc State Ala
52(9):8-15, March 1983
 "A Room for Freddy" in
Smith, Anita. Lloyd
Noland, M.D.: The Boss.
Fairfield, Ala.: Lloyd
Noland foundation, 1986,
pp 373-382

40.  Born 26 Dec. 1897
 Hinsdale, Illinois
 Only child
 Charles Samuel
McNeal
 Carrie May Johnston
McNeal

41.  Arrived in the city Saturday evening, May 4, 1946
 Chief of Anesthesia Div., Dept. of Surgery
 By summer, 1948 she was unhappy and planning
to return to Chicago
 Medical college offered her a department and pay
increase
 Dept. created August 1, 1948

43. “One thing that I am quite sure of is that it requires
an anesthetist thoroughly trained in the work to
administer it, and that it should never be trusted to
the intern, but to a well-paid specialist.”
Edmund Mortimer Prince, M.D., 1912

44.  Cauterization for tetanus in a slave
 John Y. Bassett, M.D., Huntsville
 Summoned dentist to administer ether [Cary??]
 Patient died less than a minute and a half after
inhalation began