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MRS. KELLY Prologue: The Woman in the Photograph Magazines that have a majority of black readers in the United States. Chapter 1- The Exam What was it like for blacks in 1951? North was a better place for blacks to be, but it still was not good… Blacks in the south were bombarded with Jim Crow Laws… Separate hospital entrances Johns Hopkins Hospital Charity hospital for the sick and poor in Baltimore, Maryland Major hospital that treated blacks Jim Crow Even though Johns Hopkins treats blacks they were still segregated inside the hospital Other hospitals could refuse services because of Jim Crow laws. Chapter 2- Clover How common was it to marry your cousin in the 1930’s Varies from country to country Worldwide- 10% Socially acceptable in the US until mid 1900’s Reports implicated cousin marriage as responsible for idiocy Laws regarding first-cousin marriage around the world First-cousin marriage Legality dependent on religion or culture Statute bans first-cousin marriage Banned with exceptions Criminal offense No data Laws regarding first-cousin marriage in the United States First-cousin marriage is legal Allowed with requirements or exceptions Banned with exceptions Statute bans first-cousin marriage Criminal offense ------------------------------------------------------------------------------- Some states recognize marriages performed elsewhere, especially when the spouses were not residents of the state when married. Tobacco Farming Harvesting the tobacco In late July and early August, tobacco harvesting began. First to be removed were the bottom few leaves, sometimes called “lugs.” Subsequent pickings removed additional leaves up the plant about every two to three weeks afterward. In an average year, a farmer picked tobacco plants three to five times. Mules hauled the picked leaves on sleds out of the fields and to the curing barns. There, under an attached shelter, others — usually women — tied the tobacco onto sticks. When the men came in from the fields at the end of the day, they placed the prepared sticks of tobacco into the barn and lit the furnace. For seven days, the farmers carefully raised the temperature in the barn and caused the tobacco to yellow and dry out. Once the tobacco had cured, the farmers put out the furnace fire and opened the doors to allow the tobacco to absorb the natural humidity. Once the tobacco became pliable again, the farmer placed it in ordering pits to absorb even more moisture before taking the crop to the packhouse. At the packhouse, farmers laid out the tobacco, graded it, and bundled it into “hands.” The last step was to press the “hands” flat before loading them on a truck destined for the tobacco warehouse. Because the grading and bundling process took considerable time, farmers usually were somewhere in the process as late as November. The other consideration for most tobacco producers was a possible increase in sale prices sometime in October, but not every farmer held their tobacco that late. Sparrow’s Point Job’s available during WWII Blacks moving up north To get jobs and better Money. Henrietta and Day and Children move . Chapter 6- “Lady’s on the Phone” “What do you know of African-Americans and science?” Tuskegee Institute, Alabama Tuskegee University is a private, historically black university, established by Booker T. Washington. Ethical questions- recruiting blacks/poor preventable deaths Syphilis study 100’s of black men (poor and uneducated) with syphilis are recruited They watch them die from syphilis even though they could have been treated. Not discovered until the 70’s Mississippi Appendectomies Unnecessary hysterectomies Done to stop poor black women from having more children. Can you tie this in to today? Also done to give med students the ability to practice the procedure. (Hitler…) Chapter 7 Alexis Carrel- 1912 Believes we can grow whole organs in the lab. Won Nobel Prize for blood-vessel-suturing technique Now wants to grow chicken heart tissues in culture. Medical breakthrough. (He claims that the cells were alive year after year.) Carrel is a eugenicist Selective breeding Wants transplantations so he can preserve the superior white race. The whites were being polluted by inferior stock (poor, uneducated and non-white) He wanted forced sterilization for all others. Praised Hitler …mystic, wanted to become a dictator Carrel and the Constitution “The feeble minded and the man of genius should not be equal before the law.” “The stupid, the unintelligent, the incapable of attention, of effort, have no right to a higher education.” But back to the chicken heart cells…they did not live. Carrel seen as a fraud. He dies awaiting trial for collaborating with the Nazi’s. Chapter 8- “A Miserable Specimen” Benevolent deception- withholding info to confusing for patients to understand. Segregation was law in 1951- blacks do not question white professionals. Blacks happy to be treated What was it like to be a black patient or doctor? Although most public hospitals made some provisions for black patients—on a segregated basis—few institutions gave black physicians privileges in their facilities. Virtually all of these hospitals were run by white doctors, and many resisted adding African Americans to their staffs, as they were often in competition with them for patients. Black patients often found themselves subject to discrimination from white doctors and nurses at public hospitals and were segregated into basement wards at most facilities. Even public hospitals that catered mostly, or even exclusively, to black patients regularly refused to allow black doctors to use their facilities. Henrietta’s treatment Same as was done for white women cancer patients. But done at later stages in their cancer, blacks got fewer pain medications Dr.’s gave her radiation and hope she would live. But she was inoperable. Chapter 9- Turner Station Boom town during WWII Ghost town by the mid 50’s. Shops and schools closed, drugs and violence on the rise. Chapter 10- the Other Side of the Tracks Cootie- Henrietta’s first cousin Polio- age 9 Light skinned- so a Dr. snuck him into the hospital. Spent a year in an iron lung Chapter 11“The Devil of Pain Itself” Henrietta is taken over by tumors Many blood transfusions Strapped to the bed to stop her from hurting herself Henrietta would die on October 4, 1951 Chapter 12- The Storm The laws Removing tissue from a live patient is legal. It is looked at like anything else that comes out of you during a surgery. It is discarded. Removing tissue from the dead- you need permission. The tissue is still in the body The autopsy Partial autopsy. No incisions in chest, no removal of limbs Official cause of death was terminal uremia or blood poisoning. Her kidneys could not filter out the toxins. The funeral Clover Family dug the grave Body kept in the house for a few days so people could pay their respects When lowering the casket rain and wind, mini-tornado? Was Henrietta speaking from the grave? Chapter 13- The HeLa Factory Set-up begins after Henrietta’s death Stopping polio is a priority 1950’s it was an epidemic Jonas Salk needs a large scale test before he can use it. HeLa was needed. Monkey cells Expensive They need a cultured cell that could grow on a massive scale Gey could “grow in suspension”. HeLa was not limited by space. So HeLa was susceptible to the polio virus. Good news for Gey. Now let’s see if the polio vaccine works. Transport They experimented and found that the cells could be delivered by the mail system with specific packaging. Tuskegee Institute 35 scientist and technicians 20,000 tubes of HeLa per week This will give training opportunities to young black scientists. HeLa is growing everywhere. Soon Gey was sending them out for $10.00 plus shipping fees. Even though these cells have cancer they have so much in common with regular cells. HeLa brings standardization to the field. Everyone needs to be on the same page. Chapter 14- Helen Lane Where did these cells come from? Henrietta Lakes- Helen Lane- Helen Larson Newspapers want her real name. Gey says no because it will be an invasion of privacy. The family would learn that the cells were alive, sold, and used in research without their knowledge. Chapter 16- Spending Eternity in the Same Place Slave names Prior to the ratification of the Thirteenth Amendment to the U.S. Constitution, the vast majority of AfricanAmericans in the United States were enslaved. During enslavement, slaves' names were assigned by their owners. Others received a name based on what kind of work they were forced to do. Some African-Americans have last names such as Cotton, reflecting when they were made to pick cotton as slaves. After emancipation, many freedmen and women took the surnames of their former owners as their own. Some blacks in the U.S. took on the surname Freeman, while others adopted the names of popular historical or contemporary figures of social importance, such as former presidents Washington, Jefferson, and Jackson. Nuremberg Trials Military tribunal by the allied forces after WWII against Nazi leadership After World War II ended, the world looked for a way to get revenge on the Germans for the eleven million people killed in the Holocaust by the Nazi's. Trials must be held before any executions. Nuremberg Codes Permissible medical experiments 1. The voluntary consent of the human subject is absolutely essential. This means that the person involved should have legal capacity to give consent 2. The experiment should be such as to yield fruitful results for the good of society 3. The experiment should be so designed and based on the results of animal experimentation and a knowledge of the natural history of the disease or other problem under study that the anticipated results will justify the performance of the experiment. 4. The experiment should be so conducted as to avoid all unnecessary physical and mental suffering and injury. 5. No experiment should be conducted where there is a prior reason to believe that death or disabling injury will occur; except, perhaps, in those experiments where the experimental physicians also serve as subjects. 6. The degree of risk to be taken should never exceed that determined by the humanitarian importance of the problem to be solved by the experiment. 7. Proper preparations should be made and adequate facilities provided to protect the experimental subject against even remote possibilities of injury, disability, or death. 8. The experiment should be conducted only by scientifically qualified persons. The highest degree of skill and care should be required through all stages of the experiment of those who conduct or engage in the experiment 9. During the course of the experiment the human subject should be at liberty to bring the experiment to an end if he has reached the physical or mental state where continuation of the experiment seems to him to be impossible. 10. During the course of the experiment the scientist in charge must be prepared to terminate the experiment at any stage 21- Night Doctors Tales of doctor’s who kidnap blacks to use for medical research. Folklore to keep blacks from escaping to the north. Cadavers needed. Slave owners would sell slave cadavers, but when none were available, grave robbing happened. Blacks, immigrants and the poor. 24- “Least they can do” One Drop Laws This dictated that if an individual has as much as one drop of minority blood in their heritage, that person was deemed a minority. It is the automatic assignment of children of a mixed union between different socioeconomic or ethnic groups to the group with the lower status. Skloot, Rebecca. The Immortal Life of Henrietta Lacks. New York: Crown, 2010. Print.