George Crile Jr.
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George Washington "Barney" Crile Jr. (November 3, 1907 – September 11, 1992) was an American surgeon."George Crile Jr." ''Contemporary Authors Online''. Detroit: Gale, 2001. Gale Biography In Context. Web. 26 July 2011. He was a significant influence on how
breast cancer Breast cancer is a cancer that develops from breast tissue. Signs of breast cancer may include a Breast lump, lump in the breast, a change in breast shape, dimpling of the skin, Milk-rejection sign, milk rejection, fluid coming from the nipp ...
is treated and was a visible and controversial advocate for alternative procedures, now considered normal treatments. He worked at the
Cleveland Clinic Cleveland Clinic is an American Nonprofit organization, nonprofit Academic health science center, academic Medical centers in the United States, medical center based in Cleveland, Ohio. Owned and operated by the Cleveland Clinic Foundation, an O ...
for more than fifty years.


Early life

Crile was born in
Cleveland, Ohio Cleveland is a city in the U.S. state of Ohio and the county seat of Cuyahoga County, Ohio, Cuyahoga County. Located along the southern shore of Lake Erie, it is situated across the Canada–United States border, Canada–U.S. maritime border ...
on November 3, 1907. He was the son of famous surgeon, George Washington Crille, a founding partner of the
Cleveland Clinic Cleveland Clinic is an American Nonprofit organization, nonprofit Academic health science center, academic Medical centers in the United States, medical center based in Cleveland, Ohio. Owned and operated by the Cleveland Clinic Foundation, an O ...
. After attending the
University School University School, commonly referred to as US, is an all-boys, private, Junior Kindergarten–12 school with two campus locations in the Greater Cleveland area of Ohio. The campus located in Shaker Heights serves junior kindergarten through ...
and the
Hotchkiss School The Hotchkiss School is a private college-preparatory day and boarding school in Lakeville, Connecticut. It educates approximately 600 students in grades 9–12, plus postgraduates. Founded in 1891, it was one of the first English-style boardi ...
, Crile attended
Yale University Yale University is a Private university, private Ivy League research university in New Haven, Connecticut, United States. Founded in 1701, Yale is the List of Colonial Colleges, third-oldest institution of higher education in the United Stat ...
, where he was on the
football Football is a family of team sports that involve, to varying degrees, kick (football), kicking a football (ball), ball to score a goal (sports), goal. Unqualified, football (word), the word ''football'' generally means the form of football t ...
and track teams and was a member of
Skull and Bones Skull and Bones (also known as The Order, Order 322 or The Brotherhood of Death) is an undergraduate senior Secret society#Colleges and universities, secret student society at Yale University in New Haven, Connecticut. The oldest senior-class ...
. He graduated in 1929. He earned his
M.D. A Doctor of Medicine (abbreviated MD, from the Latin ) is a medical degree, the meaning of which varies between different jurisdictions. In the United States, and some other countries, the ''MD'' denotes a professional degree of physician. This ge ...
from
Harvard Medical School Harvard Medical School (HMS) is the medical school of Harvard University and is located in the Longwood Medical and Academic Area, Longwood Medical Area in Boston, Massachusetts. Founded in 1782, HMS is the third oldest medical school in the Un ...
in 1933, graduating
summa cum laude Latin honors are a system of Latin phrases used in some colleges and universities to indicate the level of distinction with which an academic degree has been earned. The system is primarily used in the United States. It is also used in some Sout ...
and first in his class.


Career

After graduating Crile chose to
intern An internship is a period of work experience offered by an organization for a limited period of time. Once confined to medical graduates, internship is used to practice for a wide range of placements in businesses, non-profit organizations and g ...
at the Barnes Hospital (1933–34) under surgeon
Evarts Ambrose Graham Evarts Ambrose Graham (March 19, 1883– March 4, 1957) was an American academic, physician, and surgeon. Early years and military service Born in Chicago, Illinois to a surgeon, David Wilson Graham, and Ida Ansbach Barned Graham, Evarts attende ...
, noted for successfully removing a lung from a cancer patient. He spent the rest of his medical career at the Cleveland Clinic. After his
residency Residency may refer to: * Artist-in-residence, a program to sponsor the residence and work of visual artists, writers, musicians, etc. * Concert residency, a series of concerts performed at one venue * Domicile (law), the act of establishing or m ...
there (1934–1937), he joined the surgical staff in 1937, served as head of the general surgery department (1956–1969), senior consultant (1969–1972), and emeritus consultant (1972–1992). During World War II, he served in the
US Navy The United States Navy (USN) is the naval warfare, maritime military branch, service branch of the United States Department of Defense. It is the world's most powerful navy with the largest Displacement (ship), displacement, at 4.5 millio ...
(1942–46), stationed at naval hospitals in
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and
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. While in the Navy he researched on ruptured appendixes and discovered that they were not as life-threatening as once believed. He, therefore, concluded that risky emergency appendectomies on board
submarine A submarine (often shortened to sub) is a watercraft capable of independent operation underwater. (It differs from a submersible, which has more limited underwater capability.) The term "submarine" is also sometimes used historically or infor ...
s may harm the patient more than help, and that the safer option was to employ
penicillin Penicillins (P, PCN or PEN) are a group of beta-lactam antibiotic, β-lactam antibiotics originally obtained from ''Penicillium'' Mold (fungus), moulds, principally ''Penicillium chrysogenum, P. chrysogenum'' and ''Penicillium rubens, P. ru ...
until the patient could be evacuated to a superior hospital facility. He also developed a procedure for
pilonidal cyst Pilonidal disease is a type of skin infection that typically occurs as a cyst between the cheeks of the buttocks and often at the upper end. Symptoms may include pain, swelling, and redness. There may also be drainage of fluid, but rarely a feve ...
s, draining them with a
catheter In medicine, a catheter ( ) is a thin tubing (material), tube made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. ...
instead of the standard surgical excision. He later said "I came home from World War II convinced that operations in many fields of surgery were either too radical, or not even necessary. Universal acceptance of a procedure does not necessarily make it right." Crile turned his willingness to question orthodox procedures to
breast cancer Breast cancer is a cancer that develops from breast tissue. Signs of breast cancer may include a Breast lump, lump in the breast, a change in breast shape, dimpling of the skin, Milk-rejection sign, milk rejection, fluid coming from the nipp ...
. The traditional treatment for breast cancer was a
radical mastectomy Radical mastectomy is a surgical procedure that treats breast cancer by removing the breast and its underlying chest muscle (including pectoralis major and pectoralis minor), and lymph nodes of the axilla (armpit). Breast cancer is the most commo ...
, a procedure that removes the entire breast as well as surrounding muscle, tissue, and
lymph node A lymph node, or lymph gland, is a kidney-shaped organ of the lymphatic system and the adaptive immune system. A large number of lymph nodes are linked throughout the body by the lymphatic vessels. They are major sites of lymphocytes that includ ...
s. Under the influence of Scottish surgeon Reginald Murley as well as one of his colleagues at the Cleveland Clinic, he instead began to advocate procedures that removed much less material, a simple mastectomy, which only removes the breast, and a
lumpectomy Lumpectomy (sometimes known as a tylectomy, partial mastectomy, breast segmental resection or breast wide local excision) is a surgical removal of a discrete portion or "lump" of breast tissue, usually in the treatment of a malignant tumor or bre ...
, which removes only a small amount of tissue. Crile performed his final radical mastectomy in 1954 and became a public advocate of alternative procedures, which are now standard. In 1955, he published an article, "A Plea Against the Blind Fear of Cancer", in ''
Life Life, also known as biota, refers to matter that has biological processes, such as Cell signaling, signaling and self-sustaining processes. It is defined descriptively by the capacity for homeostasis, Structure#Biological, organisation, met ...
'' magazine and a book, ''Cancer and Common Sense''. The medical establishment was resistant to the changes he advocated so he sought to influence them through their patients. He was an outspoken critic of traditional procedures for decades and some of his patients, including author
Babette Rosmond Babette Rosmond (November 4, 1917 – October 23, 1997) was an American author. Biography Career Rosmond sold her first short story to ''The New Yorker'' at age seventeen. She published short fiction of her own and with Leonard M. Lake. She w ...
, became public advocates as well. He retired as head of the Cleveland Clinic's Department of General Surgery in 1968, continuing as a senior consultant.


Personal life

Crile married Jane Halle in 1935. She died of cancer in 1963. They had three daughters and one son,
CBS News CBS News is the news division of the American television and radio broadcaster CBS. It is headquartered in New York City. CBS News television programs include ''CBS Evening News'', ''CBS Mornings'', news magazine programs ''CBS News Sunday Morn ...
producer
George Crile III George Washington Crile III (March 5, 1945 – May 15, 2006) was an American journalist most closely associated with his three decades of work at CBS News. He specialized in dangerous and controversial subjects, resulting in both praise and c ...
. Their daughter Ann Crile married surgeon Caldwell Esselstyn and is the mother of author Rip Esselstyn. In 1963, Crile married his second wife, Helga Sandburg, the daughter of the poet
Carl Sandburg Carl August Sandburg (January 6, 1878 – July 22, 1967) was an American poet, biographer, journalist, and editor. He won three Pulitzer Prizes: two for his poetry and one for his biography of Abraham Lincoln. During his lifetime, Sandburg w ...
. Crile died of lung cancer in
Cleveland Clinic Cleveland Clinic is an American Nonprofit organization, nonprofit Academic health science center, academic Medical centers in the United States, medical center based in Cleveland, Ohio. Owned and operated by the Cleveland Clinic Foundation, an O ...
on September 11, 1992.


Popular Media

A portrait of Dr. George Crile Jr. at the Cleveland Clinic was featured in the movie Miracle Dogs in 2003. At approximately the 30-minute mark, the character Katherine Mannion (played by actress
Rue McClanahan Eddi-Rue McClanahan (February 21, 1934 – June 3, 2010) was an American actress. She was best known for her roles on television sitcoms, including Maude (TV series)#Characters, Vivian Cavender Harmon on ''Maude (TV series), Maude'' (1972–78), ...
) talks to the painting, as it is implied to be her deceased husband. The movie was filmed partly on location at the Cleveland Clinic.


Selected publications

Crile was an avid author on many subjects, especially medicine, and travel. He had a weekly radio program in the 1980s called ''90 Seconds'' on
WERE ''Were'' and ''wer'' are archaism, archaic terms for adult male humans and were often used for alliteration with wife as "were and wife" in Germanic-speaking cultures (, , , , , , ). In Anglo-Saxon law ''wer'' was the value of a man's life. He ...
. * ''The Hospital Care of the Surgical Patient: A Surgeon's Handbook'' (with Franklin L. Shively Jr.), C. C Thomas, 1943 * ''Practical Aspects of Thyroid Disease'', Saunders, 1949. * ''Treasure-Diving Holidays'' (with Jane Crile), Viking, 1954. * ''Cancer and Common Sense'', Viking, 1955. * ''More Than Booty'' (with Jane Crile), McGraw, 1965. * ''A Biological Consideration of Treatment of Breast Cancer'', C. C Thomas, 1967. * ''A Naturalistic View of Man: The Importance of Early Training in Learning, Living, and the Organization of Society'', World Publishing, 1969. * ''Above and Below: A Journey Through Our National Underwater Parks'' (with ''Helga Sandburg''), McGraw, 1969. * ''What Women Should Know About the Breast Cancer Controversy'', Macmillan, 1973. * ''Surgery, Your Choices, Your Alternatives'', Delacorte, 1978. * ''The Way It Was: Sex, Surgery, Treasure, and Travel'', 1907–1987, Kent State University Press, 1992.


References

{{DEFAULTSORT:Crile, George Jr. 1907 births 1992 deaths American autobiographers University School alumni Hotchkiss School alumni Yale University alumni Yale Bulldogs football players Harvard Medical School alumni 20th-century American non-fiction writers 20th-century American male writers American male non-fiction writers 20th-century American surgeons Members of Skull and Bones