David Steensma, MD Profile picture
May 2, 2023 21 tweets 14 min read Read on X
Today marks the end of an era: publication of the final philatelic vignette (authors.elsevier.com/a/1g-uM5qq8Xpp3) co-authored by Robert Kyle @MayoClinic. Bob turned 95 this year and decided to step down from helping prepare these. He published his first vignette @JAMA_current back in 1969!/1 Image
This longstanding series focused on medical & scientific-themed postage stamps began in 1961. At the 109th Annual Meeting of @AmerMedicalAssn in the then-new convention center in Miami Beach, Florida in June 1960, John Mirt (1897-1968) discussed “Medical Pathfinders on Stamps”./2 ImageImage
At the time, Mr. Mirt – a devoted Freemason - worked in press relations for the AMA in Chicago. After the meeting, he was asked by then-editor of @JAMA_current John Talbott (1902-1990) to start composing short articles about physicians & scientists featured on postage stamps./3 ImageImage
This was about the same time JAMA began to feature artwork on its cover (1964) to reflect the humanism in medicine. One additional purpose of the stamp vignettes was to “fill in white space” at the end of published articles. Most, like this one about van Swieten, were not long./4 Image
Here you can see a typical vignette “in situ” in a 1972 issue of @JAMA_current, featuring a Polish stamp with a rather unflattering portrait of Sir Isaac Newton (1643-1727), shoehorned into a small box at the end of an article about blood transfusion services...in New Jersey.🤪/5 Image
Between 1961 and his death in May 1968, John Mirt published >200 “Medical Pathfinders on Stamps” vignettes. After Mirt died, George Fite (1904-1993), senior editor of JAMA from 1965-1974 and a famed leprosy pathologist, asked Bob if he would compile the vignettes into a book./6 ImageImage
Bob got interested in stamps in 1965 after injuring his back while examining a patient & being hospitalized for 40 days of bedrest. He bought a Scott catalogue and outlined every stamp about either cancer or blood transfusion, then tried to collect them./7 intheloop.mayoclinic.org/2019/05/02/dr-… Image
That was a common medical practice back then: prolonged #bedrest, usually as an inpatient, for many conditions. When my maternal grandfather developed myocarditis after a smallpox vaccine in 1963, for example, he was prescribed 6 weeks in bed. The VTE rate must have been high!/8 Image
Bob asked his friend Marc Shampo, PhD (1924-2019) to help him with the book & vignettes. Marc was a passionate collector who joined Mayo’s staff in 1962 (a year after Bob started) to worked in publications. This pairing continued until Marc became too frail to continue in 2016./9 Image
JAMA editor Fite asked Bob and Marc to continue the series John Mirt started. Between 1969 and 1984, Bob and Marc published more than 330 vignettes in @JAMA_current. Reading these now, the language seems a bit old fashioned, but they're still interesting./10 Image
Bob described how he got started in stamps in an @ASCOPost interview in 2019 (ascopost.com/issues/april-2… Aided by the @AABB, Bob was a key driver behind the US 6c blood transfusion commemorative stamp in 1971 - here's a First Day Cover: /11 Image
Bob also was interviewed @ASHClinicalNews in 2015 for the "PASH-ions" section. He noted, "I was awarded the John Brain Medal in the late 1960s. In 1980, I earned the Myrtle Watt Award for Medical Philately Journalism for the vignettes that I authored...
ashpublications.org/ashclinicalnew…
...I [Bob Kyle] also became active in the American Topical Association @AmerTopical, a large philatelic organization, and became president of its Medical Subjects Unit for five years, as well as being named a Distinguished Topical Philatelist in 1982." @APS_stamps /13 ImageImage
In 1984, JAMA decided to go in a different direction and discontinued the vignettes. The editor of @MayoProceedings at that time, Robert G. Siekert (1925-2014), invited Bob & Marc to publish vignettes in the Proceedings, where they've lived ever since - 39 years and counting./14 ImageImage
In 2004 when I returned to @MayoClinic from @MRC_WIMM in Oxford, Bob asked me to join him and Marc in preparing vignettes. In his words, “Marc and I aren’t getting any younger.” This Murad vignette was the first one I was involved with of ~60 so far; it published October 2004./15 Image
I'm not a very active collector, but I started collecting stamps as a small boy circa 1980, inspired by my paternal grandfather. He gave me these colorful 1934 National Parks imperforate stamps, which were some of his own favorites & which I mounted for display at his funeral./16 Image
Recently I talked about stamp collecting (including the famous 1947 USA Luke Fildes 'The Doctor' stamp) and many other topics in an @ASCO “Oncology, Etc.” Podcast hosted by Dave Johnson and Pat Loehrer. Link to the 1st part here: auwpod.libsyn.com/oncology-etc-i… /17
Earlier vignettes were compiled into 3 “Medicine & Stamps” volumes - here are my copies. Volume 1 (red cover) was published by the AMA in 1970 (originally $4), vol. 2 (gold) by Robert Krieger Publishing in Huntington NY in 1980, vol. 3 (blue cover) by Mayo Foundation in 2004./18 Image
At this point, about 6 vignettes are published per year. Editorial assistant Peg Wentz @MayoProceedings has been a steadfast champion of the series (thank you Peg!), and Mayo hematologist Tom Witzig is helping me write them now that Bob Kyle has stepped back./19 ImageImage
I’ve shifted them away somewhat from biography (fewer stamps honor individuals anyway. Next month is about these beautiful new USPS "Life Magnified" commemoratives & microscopy history. I intend to continue as long as @MayoProceedings is willing to keep publishing them./20End Image

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More from @DavidSteensma

Nov 29, 2023
Did you ever wonder why our marrow is located inside of our *bones*, #MedTwitter? There’s no a priori anatomical reason it should be sited there. Blood cells could form in our spleens & livers, as they do during our fetal lives; or elsewhere, as in some animals. Let’s discuss! /1
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After all, zebrafish get along just fine making blood cells in their “kidney marrow”, keeping @leonard_zon's lab running. Drosophila make blood-like cells in abdominal hubs, and frogs… frogs mix it up. Jeremiah Bullfrog & frog cousins make blood in kidneys, marrow, liver, etc./2


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Hematopoietic stem cells (HSCs) are like seafarers or long-haul truckers: they have a tough, unforgiving job requiring long hours. They must generate >2×10¹¹ blood cells daily, over the course of an organismal lifespan that might span >100 years. (HSC time image: @Goodell_Lab)/3
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Read 19 tweets
Sep 6, 2023
I was reviewing marrow failure history in preparation for an upcoming @aamdsif conference, and I’m completely awed by the observational skills of young physician Paul Strübing in Greifswald, Germany in 1882 describing the first clear case of paroxysmal nocturnal hemoglobinuria./1 Image
This was the only photo I could find of Strübing, from over 20 years later (circa 1905). At the time of publication of his prescient 1882 paper, Strübing was 29 years old and had graduated from medical school 6 years earlier. /2 Image
As William Crosby @TuftsMedSchool wrote in 1951 @BloodJournal, “Strübing’s paper on [PNH] might well be regarded as a classic of clinical investigation. He recognized clearly that the disease was a new entity and characterized it by a careful description of his patient."/3

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Read 14 tweets
Mar 27, 2023
@OpenAI #ChatGPT4 "hallucinations" remind me of a now-amusing event from way back in Grade 3 when I was 7, involving the last time I knowingly confabulated. I was assigned to write a report about airplanes.✈️ One thing I already knew about airplanes: they were expensive! (1/12) Stock photo of a blond girl...
According to my parents, the high cost of airplane tickets was why our family always drove the tedious 800+ miles from our NYC suburban home to see relatives in Michigan at Christmas🎄If 4 airplane *tickets* were expensive, I reasoned an *entire airplane* must be hugely costly. Cool airplane origami made ...
I found lots of good airplane info, which went into that report. But couldn't find ANYTHING about cost. I looked everywhere a kid could look in the 1970s: encyclopedias, school books, library books. Nothing. Desperate, I made up a plausible number 😲 and added it to the report. 1970s World Book.  I used o...
Read 14 tweets
Dec 21, 2022
I’ve never posted a @tiktok_us link before, but this is a rare opportunity to observe one of the most poorly understood disorders in #hematology: Gardner-Diamond syndrome. This young woman's skin lesions first appear about 40 seconds in./1 #MedTwitter tiktok.com/@nancy.xoxx/vi…
The syndrome was described by Drs. Frank Gardner (1919-2013) and Louis K. Diamond (1902-1999) in Boston in 1955, in @BloodJournal. They reported 4 cases, all women, who had a peculiar form of bruising on face or extremities but had no other bleeding & normal coagulation tests./2
The key finding in Gardner-Diamond syndrome: unexplained painful bruises, most commonly on extremities or face, often during times of stress. The pathophysiology is unclear, as described below. Many patients have been dismissed by physicians as having a fictitious disorder./3 Facial ecchymoses on Nancy Morel's TikTok
Read 13 tweets
Nov 23, 2022
Among the many things I am #thankful for: recent progress in hematologic malignancies. When I started my career - not that long ago! - standard therapy for myeloma was melphalan & prednisone or VMP, chlorambucil for CLL, CHOP (without R) for NHL, epoetin & transfusions for MDS./1
CML was treated with Hydrea, busulfan, or interferon & Ara-C,and the big debate was transplant timing. Most patients didn't have an allo transplant donor & the age cutoff was 50-55. Karyotyping was inconsistently done even in AML/MDS; FISH was new; single gene testing was rare./2
No one knew about JAK2 mutations, let alone envisioning specific JAK2 inhibitors. There were elderly patients with polycythemia we treated with radiophosphorous. Many clinical trials were small IITs. The most "exciting" progress was in hairy cell leukemia: pentostatin & 2-CDA./3
Read 6 tweets
Oct 30, 2022
A medical textbook nostalgia thread! I dug up my @UChicagoMed transcript & recalled what books we used for each class. Buying books online was rare back then, so most came from the University bookstore at 58th & S Ellis, or the claustrophobic but amazing @SeminaryCoop on 57th./1 ImageImageImage
Year 1, Term 1 (Autumn): Netter’s Atlas of Human Anatomy (1989 edition), Wheater’s Functional Histology (1987), Moore’s Developing Human: Clinically Oriented Embryology (1988), Stryer’s Biochemistry (1990). (If you had another biochem text from undergrad, you could use that.)/2 ImageImageImageImage
One weird fact about U of C medical school: back then med student skeletal anatomy was taught by paleontologists, including @NatGeo Explorer-in-Residence Paul Sereno (here's his Facebook image). So we learned not just about human anatomy, but how humans differ from dinosaurs.🦖🦕 Image
Read 19 tweets

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