Dr. Vivien Thomas
Described as the “most untalked about, unappreciated, unknown giant in the African American community,” by
Dr. Levi Watkins, Jr., Vivien Thomas received an honorary doctorate from Johns Hopkins University in 1976, and while this was undoubtedly memorable, the decades which preceded this moment were equally unforgettable. In Nashville,
Tennessee, this high school honors graduate dreamed of becoming a
physician. Thomas, a skilled carpenter, saved for seven years to pay for his education. However, he lost his savings during the Great Depression. Beginning in 1930, he worked at Vanderbilt University's Medical School as a laboratory assistant to Alfred Blalock, a white physician who became a pioneer in cardiac surgery. Blalock mentored Thomas and taught him to conduct experiments.
In 1941, Blalock transferred to Johns Hopkins University School of Medicine and asked Thomas to transfer as well. While at Hopkins, they developed a procedure to save “blue babies” afflicted with congenital heart defects. According to Partners of the Heart, Thomas often “stood on a step stool” behind Blalock, guiding the surgeon through surgery. Though earning low wages, Thomas performed surgeries, designed instruments needed to perform surgery on “blue babies,” did innovative work on the defibrillator, and taught surgical techniques to surgeons. He also moonlighted as a bartender to support his family.
In 1960, Blalock celebrated his 60th birthday, and while 500 people attended, Thomas, with whom he had worked for over 30 years, was not invited. After 37 years, Thomas was appointed to the faculty at Johns Hopkins University School of Medicine. Leaving an indelible mark, he became instructor emeritus of surgery. Vivien Thomas, who never earned a medical degree, died in Baltimore,
Maryland at the age of 75.
Skills
Thomas's surgical techniques included one he developed in 1946 for improving
circulation in patients whose
great vessels (the
aorta and the pulmonary artery) were transposed.
[32] A complex operation called an atrial septectomy, the procedure was executed so flawlessly by Thomas that Blalock, upon examining the nearly undetectable suture line, was prompted to remark, "Vivien, this looks like something the Lord made".
[32] To the host of young surgeons Thomas trained during the 1940s,
[33] he became a figure of legend, the model of a dexterous and efficient cutting surgeon. "Even if you'd never seen surgery before, you could do it because Vivien made it look so simple," the renowned surgeon
Denton Cooley[27] told
Washingtonian magazine in 1989. "There wasn't a false move, not a wasted motion, when he operated." Surgeons like Cooley, along with Alex Haller,
[34] Frank Spencer,
[35] Rowena Spencer,
[36] and others credited Thomas with teaching them the surgical technique that placed them at the forefront of medicine in the United States. Despite the deep respect Thomas was accorded by these surgeons and by the many black lab technicians he trained at Hopkins, he was not well paid.
[37] He sometimes resorted to working as a
bartender, often at Blalock's parties. This led to the peculiar circumstance of his serving drinks to people he had been teaching earlier in the day. Eventually, after negotiations on his behalf by Blalock, he became the highest paid technician at Johns Hopkins by 1946, and by far the highest paid African-American on the institution's rolls.
[38] Although Thomas never wrote or spoke publicly about his ongoing desire to return to college and obtain a medical degree, his widow, the late Clara Flanders Thomas, revealed in a 1987 interview with
Washingtonian writer Katie McCabe that her husband had clung to the possibility of further education throughout the blue baby period and had only abandoned the idea with great reluctance. Mrs. Thomas stated that in 1947, Thomas had investigated the possibility of enrolling in college and pursuing his dream of becoming a doctor, but had been deterred by the inflexibility of
Morgan State University, which refused to grant him credit for life experience and insisted that he fulfill the standard freshman requirements. Realizing that he would be 50 years old by the time he completed college and medical school, Thomas decided to give up the idea of further education.