The musings of a physician who served the community for over six decades
367 Topics
Downtown A discussion about downtown area in Philadelphia and connections from today with its historical past.
West of Broad A collection of articles about the area west of Broad Street, Philadelphia, Pennsylvania.
Delaware (State of) Originally the "lower counties" of Pennsylvania, and thus one of three Quaker colonies founded by William Penn, Delaware has developed its own set of traditions and history.
Religious Philadelphia William Penn wanted a colony with religious freedom. A considerable number, if not the majority, of American religious denominations were founded in this city. The main misconception about religious Philadelphia is that it is Quaker-dominated. But the broader misconception is that it is not Quaker-dominated.
Particular Sights to See:Center City Taxi drivers tell tourists that Center City is a "shining city on a hill". During the Industrial Era, the city almost urbanized out to the county line, and then retreated. Right now, the urban center is surrounded by a semi-deserted ring of former factories.
Philadelphia's Middle Urban Ring Philadelphia grew rapidly for seventy years after the Civil War, then gradually lost population. Skyscrapers drain population upwards, suburbs beckon outwards. The result: a ring around center city, mixed prosperous and dilapidated. Future in doubt.
Historical Motor Excursion North of Philadelphia The narrow waist of New Jersey was the upper border of William Penn's vast land holdings, and the outer edge of Quaker influence. In 1776-77, Lord Howe made this strip the main highway of his attempt to subjugate the Colonies.
Land Tour Around Delaware Bay Start in Philadelphia, take two days to tour around Delaware Bay. Down the New Jersey side to Cape May, ferry over to Lewes, tour up to Dover and New Castle, visit Winterthur, Longwood Gardens, Brandywine Battlefield and art museum, then back to Philadelphia. Try it!
Tourist Trips Around Philadelphia and the Quaker Colonies The states of Pennsylvania, Delaware, and southern New Jersey all belonged to William Penn the Quaker. He was the largest private landholder in American history. Using explicit directions, comprehensive touring of the Quaker Colonies takes seven full days. Local residents would need a couple dozen one-day trips to get up to speed.
Touring Philadelphia's Western Regions Philadelpia County had two hundred farms in 1950, but is now thickly settled in all directions. Western regions along the Schuylkill are still spread out somewhat; with many historic estates.
Up the King's High Way New Jersey has a narrow waistline, with New York harbor at one end, and Delaware Bay on the other. Traffic and history travelled the Kings Highway along this path between New York and Philadelphia.
Arch Street: from Sixth to Second When the large meeting house at Fourth and Arch was built, many Quakers moved their houses to the area. At that time, "North of Market" implied the Quaker region of town.
Up Market Street to Sixth and Walnut Millions of eye patients have been asked to read the passage from Franklin's autobiography, "I walked up Market Street, etc." which is commonly printed on eye-test cards. Here's your chance to do it.
Sixth and Walnut over to Broad and Sansom In 1751, the Pennsylvania Hospital at 8th and Spruce was 'way out in the country. Now it is in the center of a city, but the area still remains dominated by medical institutions.
Montgomery and Bucks Counties The Philadelphia metropolitan region has five Pennsylvania counties, four New Jersey counties, one northern county in the state of Delaware. Here are the four Pennsylvania suburban ones.
Northern Overland Escape Path of the Philadelphia Tories 1 of 1 (16) Grievances provoking the American Revolutionary War left many Philadelphians unprovoked. Loyalists often fled to Canada, especially Kingston, Ontario. Decades later the flow of dissidents reversed, Canadian anti-royalists taking refuge south of the border.
City Hall to Chestnut Hill There are lots of ways to go from City Hall to Chestnut Hill, including the train from Suburban Station, or from 11th and Market. This tour imagines your driving your car out the Ben Franklin Parkway to Kelly Drive, and then up the Wissahickon.
Philadelphia Reflections is a history of the area around Philadelphia, PA
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Philadelphia Revelations
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George R. Fisher, III, M.D.
Obituary
George R. Fisher, III, M.D.
Age: 97 of Philadelphia, formerly of Haddonfield
Dr. George Ross Fisher of Philadelphia died on March 9, 2023, surrounded by his loving family.
Born in 1925 in Erie, Pennsylvania, to two teachers, George and Margaret Fisher, he grew up in Pittsburgh, later attending The Lawrenceville School and Yale University (graduating early because of the war). He was very proud of the fact that he was the only person who ever graduated from Yale with a Bachelor of Science in English Literature. He attended Columbia University’s College of Physicians and Surgeons where he met the love of his life, fellow medical student, and future renowned Philadelphia radiologist Mary Stuart Blakely. While dating, they entertained themselves by dressing up in evening attire and crashing fancy Manhattan weddings. They married in 1950 and were each other’s true loves, mutual admirers, and life partners until Mary Stuart passed away in 2006. A Columbia faculty member wrote of him, “This young man’s personality is way off the beaten track, and cannot be evaluated by the customary methods.”
After training at the Pennsylvania Hospital in Philadelphia where he was Chief Resident in Medicine, and spending a year at the NIH, he opened a practice in Endocrinology on Spruce Street where he practiced for sixty years. He also consulted regularly for the employees of Strawbridge and Clothier as well as the Hospital for the Mentally Retarded at Stockley, Delaware. He was beloved by his patients, his guiding philosophy being the adage, “Listen to your patient – he’s telling you his diagnosis.” His patients also told him their stories which gave him an education in all things Philadelphia, the city he passionately loved and which he went on to chronicle in this online blog. Many of these blogs were adapted into a history-oriented tour book, Philadelphia Revelations: Twenty Tours of the Delaware Valley.
He was a true Renaissance Man, interested in everything and everyone, remembering everything he read or heard in complete detail, and endowed with a penetrating intellect which cut to the heart of whatever was being discussed, whether it be medicine, history, literature, economics, investments, politics, science or even lawn care for his home in Haddonfield, NJ where he and his wife raised their four children. He was an “early adopter.” Memories of his children from the 1960s include being taken to visit his colleagues working on the UNIVAC computer at Penn; the air-mail version of the London Economist on the dining room table; and his work on developing a proprietary medical office software using Fortran. His dedication to patients and to his profession extended to his many years representing Pennsylvania to the American Medical Association.
After retiring from his practice in 2003, he started his pioneering “just-in-time” Ross & Perry publishing company, which printed more than 300 new and reprint titles, ranging from Flight Manual for the SR-71 Blackbird Spy Plane (his best seller!) to Terse Verse, a collection of a hundred mostly humorous haikus. He authored four books. In 2013 at age 88, he ran as a Republican for New Jersey Assemblyman for the 6th district (he lost).
A gregarious extrovert, he loved meeting his fellow Philadelphians well into his nineties at the Shakespeare Society, the Global Interdependence Center, the College of Physicians, the Right Angle Club, the Union League, the Haddonfield 65 Club, and the Franklin Inn. He faithfully attended Quaker Meeting in Haddonfield NJ for over 60 years. Later in life he was fortunate to be joined in his life, travels, and adventures by his dear friend Dr. Janice Gordon.
He passed away peacefully, held in the Light and surrounded by his family as they sang to him and read aloud the love letters that he and his wife penned throughout their courtship. In addition to his children – George, Miriam, Margaret, and Stuart – he leaves his three children-in-law, eight grandchildren, three great-grandchildren, and his younger brother, John.
A memorial service, followed by a reception, will be held at the Friends Meeting in Haddonfield New Jersey on April 1 at one in the afternoon. Memorial contributions may be sent to Haddonfield Friends Meeting, 47 Friends Avenue, Haddonfield, NJ 08033.
Since American relations with France are a little strained at the moment, it may not be completely welcome to hear it said that Philadelphia food is Creole. The reference is not to the several downtown French restaurants of outstanding quality, but to the two episodes when Philadelphia experienced waves of French immigration. The first of these was during the French and Indian War, when the Acadian French ("Cajun") were driven out of Nova Scotia, largely went to Louisiana and then were allowed to return. A lot of them stopped off in Philadelphia both going and coming. Henry Wadsworth Longfellow depicted, in his poem Evangeline, the tearful reunion of Evangeline and Gabriel in the hospital. And since for sixty years the Pennsylvania Hospital was the only hospital in the country, Longfellow had to put them here.
The second wave of French immigration was provoked by the guillotine in Paris, and the black revolution in French Haiti. Most people today are unaware that Talleyrand lived here, and LaRochefoucauld. The Duke of Orleans, future king of France, lived at 4th and Locust Streets, proposed to a (rich) Philadelphia lady, and was rejected by her father ("Sir, if you do not become king of France, you will be no match for her, and if you do become king, she will be no match for you.") Napoleon's brother Joseph lived at 9th and Spruce, and one of his marshals lived at 6th and Spruce. Really. Talleyrand had a deformed foot, and this somehow made him pals with Governor Morris who had a wooden leg. This friendship was part of the reason the Louisiana Purchase was possible, because they shared the favors of the same French lady, and had frequent occasion to meet. Both Franklin and Jefferson were ambassadors to France, it may be remembered, and for a while, Jefferson was quite a fan of the French Revolution, although the treatment of LaFayette by the French Revolutionaries did not exactly encourage that. The French treated Franklin like a God, but then so did Mozart and the King of England, and Franklin harbored many bitter memories of the French and Indian War all the while he was romancing the French into bankruptcy to pay for our revolution. The French refugees from Haiti brought Yellow Fever with them, and Dengue too, thus definitively terminating Philadelphia's hope of remaining the permanent capital of the nation.
It was during this Francophone period that Philadelphia cuisine acquired some characteristics which allow some food historians to call it Creole. Philadelphia Pepper Pot soup, for example, substituted tripe for terrapin. Those who know about these things say that many dishes now thought to be distinctly Philadelphian in fact had a French origin.
MEETING OF THE SHAKSPERE SOCIETY OF PHILADELPHIA AT THE FRANKLIN INN CLUB ON OCTOBER 8, 2003
Secretary Peck in the chair. Other members present Ake, Bartlett, Bornemann, Cheston, Cramer, Fallon, Fisher, Friedman, Frye, Green, Griffin, Lehmann, Mabry, Madeira, O' Malley, Wheeler. Mr. Schmalzbach joined us as we began our reading of Macbeth.
Members joined in hearty praise of the Falstaffian Bard's birthday feast of last April hosted by Messrs. Friedman, Madeira, and Pope. Our hats are off to you, gentlemen!
The secretary has received two new email addresses from members; any others to be reported? Please let me know promptly if so. A reminder that notices of forthcoming meetings will be sent out only by email. If you wish to receive a telephone call as a reminder, please inform me: I will be happy to comply. Minutes too will be sent by email to those who are electronically up to date, and by regular mail to members who are still ensnared in snail status (so to speak).
We were sorry to hear that Edgar Scott, a member of very long standing, has decided to resign from the Society since he feels that he can no longer make the long drive home after dinner meetings.
We were reminded that the Philadelphia Shakespeare Festival is performing Julius Caesar until mid-November at its snug home on the second floor of the Lutheran Church parish building at 21st and Sansom streets. This group will stage As You Like It next February. Next March, People's Light and Theater Company in Malvern will also stage Caesar.
The Vice Dean announced that we will read Timon of Athens as soon as we finish Macbeth. Timon is not a play that most bookstores normally have in stock, so caveat emptor. Dr. Fallon mentioned how much he has enjoyed reading over the three parts of Henry VI recently. Margaret of Anjou is a particularly vivid character' and the only Shaksperian character to appear in four of the master's plays (Richard III as well as the three Sixes).
Col. Fallon asked us why the witches tempt Macbeth, and what their powers are: murky issues. They know the future, but they cannot harm the thane. How would the play be different without them? Is Macbeth a tool of the witches' in their power' or can he make moral choices? In early scenes, Macbeth is violent but virtuous, defending his king and country against invaders (Norwegians) and traitors (Cawdor). An Elizabethan audience would presumably have thought of contemporary events: the threat of invasion by powerful Spain over many years; local Roman Catholics ready to rebel against the Protestant queen whom the pope had urged them to overthrow; and the fear of civil war when Elizabeth dies only two or three years before this play was first performed.
Act One, Scene Three: Macbeth hears the bewitching promise of royal power. The seed of ambition is planted that Lady M. will force into early flower (as the gardeners among us might say). Macbeth is horrified to realize that as soon as the witches promise him a crown, he is thinking of murdering his way to power.
1.4'Lady Macbeth speaks in soliloquy about driving the morally squeamish Mac. to seize the throne. The Lady has a prominent role in only a few scenes, the Vice Dean reminded us; but what an impact she makes on readers and audiences! Local opera lovers will think of Lauren Flanigan's riveting incarnation of Lady M. last season in Verdi's version of the tale. Dr. Fallon pointed out that Lady Macbeth asks supernatural power to take away the feminine nature that gives her protection, customary in Elizabethan culture. Why does she collapse at the end of the play after showing such explosive strength of will in earlier scenes? Members spoke up vigorously on these and other issues about Lady M. and her influence on her spouse.
1.5'Lady Macbeth undermines Macbeth's moral qualms about killing his king, his kinsman, and his benefactor. Is she in effect her husband's alter ego, putting into powerful and seductive words the suppressed tempter's voice inside his own heart?
1.7'Macbeth argues with himself about the horror of killing his trusting royal cousin and then argues with his wife about the morality of the deed. By the end of his wonderful soliloquy, he seems certain to refuse to kill; but his wife's claim that he is not a man unless he seizes power by any means necessary quickly changes the direction of his thoughts: "Can we get away with it?" is all he asks. The Vice Dean reminded us of the frequent images of vulnerable children in this play. Macbeth refers to pity as a "naked newborn babe" in his soliloquy, his Lady tells him that she would smash the head of a suckling infant at her breast rather than refuse to be man enough to seize power; later, Lady Macduff's small child is murdered before her eyes by the thugs who kill her too. An infant's head appears to horrify Macbeth when the witches show him Banquo's royal progeny.
2.1'Macbeth is again powerfully smitten by conscience, as he shrinks in horror from a bloody dagger that his imagination holds before him. But he asks the stars to hide, the heavens to turn their eyes away as he goes to kill his king, like Tarquin the rapist going to violate vulnerable goodness.
OUR NEXT MEETING WILL BE ON OCTOBER 22, 2003. WE WILL BEGIN READING MACBETH AT ACT TWO, SCENE THREE.
Visitors to the royal castle of Ferdinand and Isabella are routinely shown the iron grating beneath the throne, below which is a small dark hole for a couple of prisoners. By contrast, most American cities have prisons containing thousands of prisoners. At the time of the discovery of America, dungeons were places to hold a few important prisoners waiting for execution or ransom. What happened to other criminals is left to the imagination, and ranged from public flogging to public execution, often preceded by torture. Torture was not primarily a method for extracting espionage from a spy, it was a form of punishment, quite explicitly designed to horrify and intimidate others who needed the warning to prevent crime. Imprisonment was too expensive to be justified in the case of ordinary crime; in the Eighteenth Century, it was common to hang people for stealing a loaf of bread. Hanging alone might not be sufficiently awesome; the hanged criminal was often torn apart and the pieces of meat dragged through the streets by horses. In extreme cases, hanging was dispensed with and it was sufficient to draw and quarter the miscreant.
Victorian Era Prison
Without further unnecessary detail, the point must be made that imprisonment was originally devised as a humane improvement, an enlighted advance. It is nevertheless entirely true that prison conditions in every jurisdiction in every country -- are unspeakably bad. While it is probably true that public officials commonly take the view that if we must have these prisons, it is of some deterrent value to spread rumors that they are worse than they actually are. The central truth is that prisons are more expensive than most people want to spend on deterrence and punishment; so they are characteristically underfunded, and most evils grow out of the pinch-penny management which the taxpayers force on the wardens. Bleak, dank and dirty, usually a century or more old, with disgusting food, cramped quarters, and a pervasive atmosphere of suppressed violence, sometimes inadequately suppressed, these forgotten warehouses confine prisoners and jailers alike in a cloud of well-justified terror of each other. Add to this mess of the Victorian era, the more modern features of HIV, male rape and smuggled drugs, and everyone involved are ready for a new approach. If only someone could devise one.
Allen Hornblum
At the Franklin Inn recently, Allen Hornblum appalled the literary lights of the city with a description of one of the lesser but nevertheless unnecessary sins of the system, the recruitment of volunteer prisoners for medical experimentation. Forget that the prisoners are all convicted of serious crimes, often as a result of a psychopathic mindset; many of them are illiterate, bored to tears, and desperate for a little spare cash to spend on the prison luxuries of sex, cigarettes, drugs, protection from other prisoners, candy and prestige. The prisons themselves set the monetary exchange rate at $.25 a day for working in the laundry; pharmaceutical firms may be unnecessarily generous in paying a dollar a day for medical volunteers. As described in his two books, Acres of Skin and Sentenced to Science, this Temple professor felt skin experiments were particularly gruesome to behold. When the prisoners were often covered with many Band-aids over their patch tests and biopsies, it gave newcomers an immediate impression that they represented widespread fighting and violence, when of course they were mostly harmless. The language of the streets is magnified in prison, and it infects the speech of the clinical investigators no matter how hard they try to blend in while they do their work.
Acres of Skin and Sentenced to Science
Meanwhile, medical personnel in a prison are neither jailers nor prisoners, and commonly inject a worrisome outside observer status into the submerged civil war. Both prisoners and jailers court the nurses and doctors but occupy a dangerous ground. They can give out medical excuses, drugs, escape opportunities, and more or less impartial testimony if there is an outbreak of violence. Violence by the guards is observed without comment or intervention because the guards are the only hope of protection if the prisoner's riot. Guilty secrets are more or less kept inviolate, but both sides of the war distrust this ethical principle. Everybody, but especially a doctor or nurse, endures constant silent appraisal. Unattractive rumors abound.
Consequently, medical care in prison everywhere is unavoidably substandard. Although the jailhouse lawyers would love to sue somebody for something, it's hard to see what could be accomplished for more than a brief time. There seem to be a number of billionaires who would like to do something to help this situation, but what this problem needs is not more money, but a better idea. Should we really go back to flogging, branding irons and gouging out eyes? It would be cheaper, but if the reformers really want reform, they have to suggest something that would work. So we could all agree to do it.
Although it has older origins, Roberts Rules of Order provide a place in every meeting for remarks "for the good of the order", suggesting there should always be an opportunity to deviate from strict germaneness to speak about something which is clearly worth talking about. Although meetings for business usually appoint a chairman, speaker or clerk to preserve order and germaneness, the truth is that most meetings which lose the opportunity to introduce something worthwhile which is a little off the subject, do so because of habit and tradition rather than devotion to focus. In recent years, remarks for the good of the Order have become so uncommon that speakers tend to rise on "a point of personal privilege", although provision for this had in mind birthday greetings and the like.
I suggest it might be a useful and entertaining thing to devote some meetings of the Franklin Inn to discussions of ways we could improve the club, and if the club has seemingly already reached perfection, to ways of improving Philadelphia and its Commonwealth.
The Franklin Inn
Such an effort will struggle at first, so it needs a core group to assure hesitating attendees that something worthwhile will be said. That core group may include officers and officials who are charged with running the club, the city or the state, but the opinions of the meeting should carry no enforcement powers other than their intrinsic validity. Admittedly, there is a natural restlessness of independent thinkers that their ideas should go somewhere, so the meetings should maintain minutes, perhaps on a website.
The attendees should pay for their lunches with meal tickets, but should also maintain a book of tickets for invited guests, and sell tickets to uninvited ones. If the present markup for tickets is maintained, an attendance of six regulars would sustain the invited speaker ticket book, and the attendance of six uninvited (no-club members) would make subsidy unnecessary. For the initial year, however, the club itself should subsidize speaker lunches. If there are conflicting meetings the Meetings for the Good of the Order should move to the second floor, and perhaps that is the best place for all of them.
These meetings should not fall into the trap of grieving that their innovative suggestions are not adopted, although they may be forgiven for celebrating the occasions where an idea does get implemented. The goal is to help an idea grow legs, and then watch it travel, ever mindful that much can be accomplished when we disregard who gets credit for it.
The Right Angle Club runs a weekly lottery, giving the profits to the Children's Educational Fund. The CEF awards scholarships by lottery to poor kids in the City schools. That's quite counter-intuitive because ordinarily most scholarships are given to the best students among the financially needy. Or to the neediest among the top applicants. Either way, the best students are selected; this one does it by lottery among poor kids. The director of the project visits the Right Angle Club every year or so, to tell us how things are working out. This is what we learned, this year.
The usual system of giving scholarships to the best students has been criticized as social Darwinism, skimming off the cream of the crop and forcing the teachers of the rest to confront a selected group of problem children. According to this theory, good schools get better results because they start with brighter kids. Carried to the extreme, this view of things leads to maintaining that the kids who can get into Harvard, are exactly the ones who don't need Harvard in the first place. Indeed, several recent teen-age billionaires in the computer software industry, who voluntarily dropped out of Harvard seem to illustrate this contention. Since Benjamin Franklin never went past the second grade in school perhaps he, too, somehow illustrates the uselessness of education for gifted children. Bright kids don't need good schools or some such conclusion. Since dumb ones can't make any use of good schools, perhaps we just need cheaper ones. Or some such convoluted reasoning, leading to preposterous conclusions. Giving scholarships by lottery, therefore, ought to contribute something to educational discussions and this, our favorite lottery, has been around long enough for tentative conclusions.
It is now safe to conclude the data show better schools generally lead to better academic results later on. Compared with other children who competed in the lottery pool but did not win the lottery, the scholarship students were far more likely to graduate from high school and be admitted to college. Since they were randomly selected, the different talents of the students could not account for this difference. So, it seems possible to say the school teachers -- not the ability of the kids -- caused the difference. That's extreme; obviously smarter kids do better in school. It could still be argued it was not the new teachers in those chosen schools, but rather the new companion students who made the difference, by means of peer pressure and good example. But kids who won the lottery were regardless better off for the experience, and Philadelphia is better off. The evidence at least implies children born in poverty can benefit from better schools than the ones we have been providing them; one does not have to be a doctrinaire liberal to agree we should get to work improving inner-city schools.
Just what improving schools means in practical terms, does not yet emerge from the experience. Some could say we ought to fire the worst teachers, others could say we ought to raise salary levels to attract better ones. Most people would agree there is some level of mixture between good students and bad ones. At that point, the culture mix becomes harmful rather than overall helpful; whether just one obstreperous bully is enough to disrupt a whole class or something like 25% of well-disciplined ones would be enough to restore order in the classroom, has not been quantitatively tested. What seems indisputable is that the kids and their parents do accurately recognize something desirable to be present in certain schools but not others; their choice is wiser than the non-choice imposed by assigning students to neighborhood schools. Maybe it's better teachers, but that has not been proved.
It seems a pity not to learn everything we can from a large, random experiment such as this. No doubt every charity has a struggle just with its main mission, without adding new tasks not originally contemplated. However, it would seem inevitable for the data to show differences in success among types of schools, and among types of students. Combining these two varieties in large enough quantity, ought to show that certain types of schools bring out superior results in certain types of students. Providing the families of students with specific information then ought to result in still greater improvement in the selection of schools by the students. No doubt the student gossip channels already take some informal advantage of such observations. Providing school administrations with such information also ought to provoke conscious improvements in the schools, leading to a virtuous circle. Done clumsily, revised standards for teachers could lead to strikes by the teacher unions. Significant progress cannot be made without the cooperation of the schools, and encouragement of public opinion. After all, one thing we really learned is that offering a wider choice of schools to student applicants leads to better outcomes. What we have yet to learn, is how far you can go with this idea. But for heaven's sake, let's hurry and find out.
109 Volumes
Philadephia: America's Capital, 1774-1800 The Continental Congress met in Philadelphia from 1774 to 1788. Next, the new republic had its capital here from 1790 to 1800. Thoroughly Quaker Philadelphia was in the center of the founding twenty-five years when, and where, the enduring political institutions of America emerged.
Philadelphia: Decline and Fall (1900-2060) The world's richest industrial city in 1900, was defeated and dejected by 1950. Why? Digby Baltzell blamed it on the Quakers. Others blame the Erie Canal, and Andrew Jackson, or maybe Martin van Buren. Some say the city-county consolidation of 1858. Others blame the unions. We rather favor the decline of family business and the rise of the modern corporation in its place.