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Sir Alfred Poland (30 August 1822 – 21 August 1872) was a 19th-century
British British may refer to: Peoples, culture, and language * British people, nationals or natives of the United Kingdom, British Overseas Territories and Crown Dependencies. * British national identity, the characteristics of British people and culture ...
surgeon In medicine, a surgeon is a medical doctor who performs surgery. Even though there are different traditions in different times and places, a modern surgeon is a licensed physician and received the same medical training as physicians before spec ...
. He is now best known for the first account of the condition later known as
Poland syndrome Poland syndrome is a birth defect characterized by an underdeveloped Pectoralis major, chest muscle and symbrachydactyly, short webbed fingers on one side of the body. There may also be short ribs, less fat, and breast and nipple abnormalities o ...
, a congenital deformity now described as an underdevelopment or absence of the chest muscle ( pectoralis) on one side of the body and webbing of the fingers (cutaneous
syndactyly Syndactyly is a condition wherein two or more digits are fused together. It occurs normally in some mammals, but is an unusual condition in humans. The term is . Classification Syndactyly can be simple or complex. * In simple syndactyly, adja ...
) of the hand on the same side (
ipsilateral Standard anatomical terms of location are used to describe unambiguously the anatomy of humans and other animals. The terms, typically derived from Latin or Greek roots, describe something in its standard anatomical position. This position prov ...
hand).


Early life

He was born in London, England, the son of William Poland, and educated at Highgate, London, Paris and Frankfurt.


Career

In 1839 he became a pupil of Aston Key at Guy's Hospital and after qualifying became Demonstrator of Anatomy, Assistant Surgeon to Guy's Hospital in 1849 and full Surgeon in 1861. He was then put in general charge of the Ophthalmic Department. From 1848-1861 he was Surgeon to the Royal Ophthalmic Hospital, Moorfields, but then abandoned ophthalmic practice due to ill health. He continued to see a few patients at Guy's up to his early death in 1872. Poland described the disease that bears his name (
Poland syndrome Poland syndrome is a birth defect characterized by an underdeveloped Pectoralis major, chest muscle and symbrachydactyly, short webbed fingers on one side of the body. There may also be short ribs, less fat, and breast and nipple abnormalities o ...
) in 1841, in a paper titled "Deficiency of the pectoral muscles", in which he described the dissected body of George Elt, a deceased convict. He received the
eponym An eponym is a noun after which or for which someone or something is, or is believed to be, named. Adjectives derived from the word ''eponym'' include ''eponymous'' and ''eponymic''. Eponyms are commonly used for time periods, places, innovati ...
more than a century later in 1962 through the recognition of British surgeon Patrick Wensley Clarkson (1911-1969) after he operated on a case similar to that of Poland. He was awarded the Fothergillian prize in 1853 by the
London Medical Society London is the Capital city, capital and List of urban areas in the United Kingdom, largest city of both England and the United Kingdom, with a population of in . London metropolitan area, Its wider metropolitan area is the largest in Wester ...
for his essay on "''Injuries and Wounds of the Abdomen''".


Reputation and character

Apart from his surgical dexterity he was renowned at the hospital for his encyclopedic knowledge and the excellence of his presentations, both oral and written. He was an extremely popular teacher, but his career was punctuated by recurrent illness so that he remarked that he was like a cat and had nine lives. After one severe bout of
hemoptysis Hemoptysis or haemoptysis is the discharge of blood or blood-stained sputum, mucus through the mouth coming from the bronchi, larynx, vertebrate trachea, trachea, or lungs. It does not necessarily involve coughing. In other words, it is the airw ...
, his physician ordered him to bed, only to see him the next day doing the rounds with his students. Alfred Poland was a modest, retiring man, who was quite careless about his appearance. He was warned by the Treasurer to dress more decently and cleanly, but ignored this advice. He was known by his colleagues to be an excellent surgeon, but would time his operations at unusual hours so that few observed him. Perhaps for those reasons, he had a small practice.


Death

He died of
consumption Consumption may refer to: * Eating *Resource consumption *Tuberculosis, an infectious disease, historically known as consumption * Consumer (food chain), receipt of energy by consuming other organisms * Consumption (economics), the purchasing of n ...
in 1872. He continued to see patients until four days before his death.


References


External links


Alfred Poland
WhoNamedIt. * {{DEFAULTSORT:Poland, Alfred 19th-century British surgeons 1822 births 1872 deaths Physicians of Guy's Hospital 19th-century deaths from tuberculosis Tuberculosis deaths in the United Kingdom