"Each of us must take into account the raw material which heredity dealt us at birth and the opportunities we have had along the way, and then work out for ourselves a sensible evaluation of our personalities and accomplishments."

Alan L. Hart (1890 – 1962) was a US American 20th-century physician, radiologist, disease researcher, and novelist who pioneered the use of x-ray in detection for tuberculosis. He spent the latter part of his career in public health, undoubtedly saving many thousands of lives across the country expanding tb services and education throughout rural areas. In 1917 Hart was one of the first people to undergo a gender affirming hysterectomy in the United States, and is the first documented case of a female to male transition in medical literature in the English speaking world.

“I had to do it. For years I had been unhappy. With all the inclinations and desires of the boy I had to restrain myself to the more conventional ways of the other sex. I have been happier since I made this change than I ever have in my life, and I will continue this way as long as I live’

interview with Hart about his hysterectomy

Hart begin expressing himself as a boy starting at least age 4, and was largely accepted by his family as male, with his grandfathers obituary in 1921 listing Hart as his grandson. A family friend of his stated in a 1921 interview “Young Hart was different, even then. Boys' clothes just felt natural. Hart always regarded himself as a boy and begged his family to cut his hair and let him wear trousers. Hart disliked dolls but enjoyed playing doctor. He hated traditional girl tasks, preferring farm work with the menfolk instead. The self reliance that became a lifelong trait was evident early: once when he accidentally chopped off his fingertip with an axe, Hart dressed it himself, saying nothing about it to the family.” During childhood school, Hart wrote most of his assignments under his first chosen name of Robert Allen Bamford Jr.

Hart received a total of 4 degrees in his life. He received a pre med degree in 1912 from Portland, Oregon’s Lewis & Clark College, then known as Albany College, followed by a medicine degree doctorate from the University of Oregon Medical Department in Portland (now Oregon Health & Science University) in 1917. His doctorate was originally issued under "Hart, [deadname] aka Robert L., M.D.”. which prompted a legal name change in 1918. He took his first medical job at a Red Cross hospital at this point. In 1928, Hart received a master’s degree in radiology from the University of Pennsylvania and was named director of radiology at Tacoma General Hospital. After working for several years as a tuberculosis consultant in Washington and Idaho, Alan Hart moved with his wife to Hartford, Connecticut, where he received a master’s degree in public health from Yale University in 1948. Around this time, Hart began taking testosterone and is described as having a deeper voice and being able to grow facial hair as a result.


TUBERCULOSIS

Show

Hart devoted much of his career to research and treatment of tuberculosis. By the dawn of the 19th century, tuberculosis—or consumption—had killed one in seven of all people that had ever lived. Throughout much of the 1800s, consumptive patients sought "the cure" in sanatoriums, where it was believed that rest and a healthful climate could change the course of the disease. In 1882, Robert Koch's discovery of the tubercule baccilum revealed that TB was not genetic, but rather highly contagious; it was also somewhat preventable through good hygiene. After some hesitation, the medical community embraced Koch's findings, and the U.S. launched massive public health campaigns to educate the public on tuberculosis prevention and treatment. TB usually attacked victims' lungs first; Hart was among the first physicians to document how it then spread, via the circulatory system, causing lesions on the kidneys, spine, and brain, eventually resulting in death. With no cure for the disease in its advanced stages the only hope for sufferers was early detection.

X-rays, or Roentgen rays as they were more commonly known until World War Two, had been discovered only in 1895, when Hart was five years old. In the early twentieth century they were used to detect bone fractures and tumors, but Hart became interested in their potential for detecting tuberculosis. Since the disease often presented no symptoms in its early stages, X-ray screening was invaluable for early detection. Even rudimentary early X-ray machines could detect the disease before it became critical. This allowed early treatment, often saving the patient's life. It also meant sufferers could be identified and isolated from the population, greatly lessening the spread of the disease. By the time antibiotics were introduced in the 1940s, doctors using the techniques Hart developed had managed to cut the tuberculosis death toll down to one fiftieth of what it had previously been.

In 1937, Hart was hired by the Idaho Tuberculosis Association and later became the state's Tuberculosis Control Officer. He established Idaho's first fixed-location and mobile TB screening clinics and spearheaded the state's war against tuberculosis. Between 1933 and 1945 Hart traveled extensively through rural Idaho, covering thousands of miles while lecturing, conducting mass TB screenings, training new staff, and treating the effects of the epidemic. An experienced and accessible writer, Hart wrote widely for medical journals and popular publications, describing TB for technical and general audiences and giving advice on its prevention, detection, and cure. At the time the word "tuberculosis" carried a social stigma akin to venereal disease, so Hart insisted his clinics be referred to as "chest clinics", himself as a "chest doctor", and his patients as "chest patients". Discretion and compassion were important tools in treating the stigmatised disease.

In 1943, Hart, now recognized as pre-eminent in the field of tubercular roentgenology, compiled his extensive evidence on TB and other X-ray-detectable cases into a definitive compendium, These Mysterious Rays: A Nontechnical Discussion of the Uses of X-rays and Radium, Chiefly in Medicine, still a standard text today. The book was translated into Spanish and several other languages

PBS - TB in America: 1895-1954

Join our public Matrix server! https://matrix.to/#/#tracha:chapo.chat


As a reminder, be sure to properly give content warnings and put sensitive subjects behind proper spoiler tags. It's for the mental health of not just your comrades, but yourself as well. Here is a screenshot of where to find the spoiler button.

Show

  • LocalOaf [they/them, ze/hir]
    ·
    7 hours ago
    mental health stuff, self image/identity musing? Drugs/alcohol/sobriety stuff

    I know it's a pretty standard trans 101/egg crack kinda line of thought, but I was walking around listening to one of my favorite albums from when I was a teenager and thinking about how I felt about it at the time vs now and how my sense of self has changed since then, and I had the kind of "well if you felt (way x) about yourself then and (way y) now, what if you feel (way z) after the same amount of time since (x) to now passes in the future and you're not really the kind of person you understand yourself as right now? A lot changed in that last decade/decade and a half" and I kinda worked through the basic "what do you think you want to be like when you're old(er)?" all over again, and it was already the case for the most part but "I don't want to be a guy, and I definitely never want to be an old man" really crystallized mentally for me

    I dunno if I'll be an old lady someday or some other kind of weird old queer or something, but I guess I hadn't really ever fully solidified that thought entirely in my head and it was kind of a relief to settle it to myself but I got kinda emotional and afraid for the future and sad about how much time I feel like I've wasted

    drugs/shrooms/nicotine/caffeine/alcohol, relapse

    Been micro dosing shrooms in addition to relapsing on cigarettes, a steady diet of kratom, and slipped off the teetotaling wagon a bit recently

    I feel like shrooms and kratom have been really good for me mentally, but shrooms really make me crave smokes, and I've been under a ton of stress and relapsed and got drunk the other night

    Didn't get sloppy or do anything stupid but I still feel kinda shitty about it

    It feels like a pathetic weasely post-hoc justification to myself, but my silver lining has been avoiding spirits and sticking to wine

    If I drink anything 80 proof or higher, it gets ugly quick and I've kept myself from doing that

    Idk if total sobriety from alcohol is even feasible for me long term

    Pretty sure there's a big genetic component to family alcoholism and I'm pretty certain I got it from my dad

    Booze doesn't seem to effect me the same way it does for most people, like how stimulants effect ADHD ppl different. I dunno. I hate that any time I get drunk, there's a part of my brain that's like, "see, our brain needs some of this to work 'normal', look at how much better we're masking and how much less anxious and irritable we are! Isn't this great??" and partially feeling that way in the moment and my own conflicted response of the rest of me wanting to be a teetotaler really fuels a self loathing spiral

    I dunno, I'm trying really hard to improve myself and it's exhausting and I'm never really satisfied with the results and don't know what to do about that

    Sorry for the big bloggy rant lovely ppl

    trans-heart