A Tribute to Max Goldstein, MD, Founder and Editor of The Laryngoscope

Centennial Highlights

A Tribute to Max Goldstein, MD, Founder and Editor of The

by Byron J. Bailey, MD, Editor

ax Goldstein was an amazing individual who had a tremendous impact on our spe- M cialty during the first half of this century and

whose work continues to benefit the lives of physicians and patients today. We can easily imagine that 100 years ago today in 1896, Max Aaron Goldstein was a very busy otologist. His practice in St. Louis had been opened the previous year, his additional responsibilities as the new chair of otology at Beau- mont Medical College were quite time-consuming, and he was about to celebrate the first anniversary of his marriage to Leonore. We can see Max, a young man 26 years old with great ability, energy, and vision busily organizing the details surrounding the publication of his first issue of a new medical journal, The ~ Y N G O S C O P E , which would circulate Volume 1, Number 1 in less than 2 months (Fig. 1). Who was this precocious young otologist whose academic product we will celebrate for the next 12 months during the Centennial of The LARYNGOSCOPE?

Max Aaron Goldstein was born in St. Louis 126 years ago on April 19, 1870. He was graduated in 1892 from the Missouri Medical College, now known as Washington University School of Medi- cine. He then served a 1-year internship at St. Louis City Hospital.

Dr. Goldstein had chosen a career as an otologist, and as was the custom o f that era, he sought postgraduate training in Europe, specifically in the renowned Polyclinic in Vienna (Fig. 21, where he studied under Adam Politzer (the “father of otology”), Victor Urbantschitsch, and other brilliant medical scientists who were actively leading what

hRYNGOSCOPE

has been called the “period of greatest progress” of the field. Subsequently, he pursued additional otologic training in Berlin, Strasbourg, and London.

When he returned to St. Louis and established his private practice, Dr. Goldstein was appointed to the chair of otology at Beaumont Medical College (later to become St. Louis University). The following year he founded a new medical journal, The LAHYN- GOSCOPE, in an effort to speed the dissemination of the rapidly expanding body of knowledge in oto-

EDITORIAL DEPARTMENT.

EDITORIAL.

Latyngoscope 106: May 1996 Bailey: Tribute to Max Goldstein, MD 535

laryngology. He edited and managed The LAHYNCO- SCOPE for 45 years, from its first issue in July 1896 until the time of his death on July 27, 1941.

Max Goldstein possessed in great abundance the qualities of the ideal medical editor as described in his obituary':

A critical judgement, quick perception, a fine memo- ry, a courageous and frank attitude toward contribu- tors, a resourceful and well trained intellecr; he was scholarly, vigorous, and indefatigably industrious. All of these qualities combined with the good will and cooperation of his colleagues contributed to the growth and reputation of The LAHYNGOSCOPE. Its fifty-one volumes are an historical record of the progress of modern international otolaryngology, Bur few names that have enriched the literature of this specialty are missing from its pages, and it was Dr. Goldstein's pride that this journal was read in every civilized part of the world.

Max Goldstein had a great love for literature, and that love was most intense for the literature of otolaryngology. He devoted a period of each day to perusing either an old book or a new book dealing with anatomy, medicine, or surgery. Through con- stant, disciplined study, he became very familiar with the work of all of the leading otologists of his day.

His extensive understanding o f otology combined quite naturally with his commitment t o education. From the beginning of his medical practice, he was in close contact with deaf children and adults in his clinics at the university, at the Central Institute for the Deaf (CID) and at the Jewish Hospi- tal of St. Louis. He was frustrated by the futility of the contemporary medical treatment and the education provided to the deaf, and he launched an ag- gressive campaign to improve deaf education. The seeds of his interest in teaching deaf children were planted during his years in Europe, where the field of deaf education was emerging. Noting that schools for the deaf in the United States were very inadequate, he decided to establish a center solely for this purpose and utilizing the method of ora l communication. His concept was that there should be a partnership between special teachers and a trained otologist. On this basis he founded the Cen- tral Institute for the Deaf in 1914, starting with him- self, two teachers, and four young children. By the time of his death, the CID was acclaimed interna- tionally and had grown to an enrollment of 300 students from the United States and several foreign countries .

Education of Deaf C b i M m

Max Goldstein had a remarkah1e understanding of the impact of deafness on individuals and families. He worked closely in Europe with Victor Ur- bantschitsch, an otologist in Vienna who is credited with the first successful results in the instruction o f "deaf mutes by a systematic course of training of the auditory nerve by aid of the human voice." A few otologists of that time recognized that even pro- foundly deaf individuals might have a remnant o f hearing that could be used in training them to de- velop some speech and might allow them to enjoy a more productive life. In 1893, Urbantschitsch piib- lished his first results with a system of aural practice, and the following year he reported his results with a large class of deaf pupils in the Oberdoebling Insti- tute for the Deaf before the otological society of Vi- enna. It was at this time that Dr. Goldstein was en-

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Bailey: Tribute to Max Goldstein, MD

gaged in his graduate medical education with Urbantschitsch and it was clearly a matter of being in the right place at the right time.

When he returned to St. Louis, Dr. Goldstein gained permission from the administration of the Sisters of St. Joseph School for the Deaf in St. Louis to demonstrate and apply his method in connection with the “regular training of deaf mutes adopted in the institution.” He went to the school once or twice a week and instructed each of 16 students ranging from 6 to 18 years of age. His report of the successful introduction of the Viennese method of deaf education to the United States was the subject of his first publication in The LARYNGOSCOPE in 1897. (This paper was read before the first annual meeting of the American Academy of Ophthalmology and Oto- laryngology in St. Louis in 1896.) This scholarly publication, which makes excellent reading even today, was the first of a series of communications by Goldstein in his lifelong effort to raise the aware- ness of the otologic profession to the very special issues around the education of deaf children. In the concluding paragraph he states the following:

Every medical man in general, and aurists in partic- ular, should give the system of instruction pursued in our various institutions for the deaf and dumb a careful study, so as to be able to recommend un- derstandingly the parents and friends of these un- fortunate members of society the course of training to be pursued, best calculated to result in greatest advancement.

In addition to instructing the students, he also spent a great deal of time with the teachers, training them in the details of the acoustic stimulation method. Each pupil received 15 minutes of personal, intensive instruction daily. In April 1897, Dr. Goldstein demonstrated the class before the meeting of the eye, ear, nose and throat specialists at the Planter’s Hotel in St. Louis. Archbishop Kain attend- ed the demonstration and with the other observers indicated great satisfaction with the results.

For the next 14 years, Dr. Goldstein devoted most of his time and effort to his practice, his teaching, and his family. He was the Professor of Otology

from 1900 to 1912 at Beaumont Hospital Medical College, which was founded in 1886, merged with the Marion Sims College of Medicine in 1901, and later became the St. Louis University College of Medicine in 1903. During this period he developed a national reputation for his expertise in deaf education.

In 1913, during the annual meeting of the American Otological Society, Dr. Goldstein spent some time with Helen Keller. He helped her to in- crease the volume of her voice, and he also taught her how to dance the “two-step” in the ballroom of the Copley Plaza Hotel in Boston. She subsequently corresponded with Dr. Goldstein and in one of her letters she wrote, “I am thinking with pleasure of the happy evening we spent with you last winter. I recall how you shook your head over my suffraget- tism and other ‘heresies,’ how we had to rush away at the last minute and nearly missed our train. Mrs. Macy (Ann Sullivan Macy) joins me in cordial greet- ings.” Dr. Goldstein’s daughter, Mrs. Helen Wolff, recalled that at that dinner her father suggested that she say someting in French to Miss Keller and to her amazement Helen Keller answered in French.

Dr. Goldstein recognized that there was a lack of understanding of the broad educational needs of deaf children amongst the medical profession in general and otologists specifically. He also found that many of the individuals engaged in teaching deaf children were inadequately qualified for this demanding and highly specialized activity. From these observations he developed the concept of creating an institute for the deaf in which there was close and effective cooperation between the teacher, the otologist, and other medical specialties. As a result of his vision, the Central Institute for the Deaf opened as a school on September 23,1914, in rooms located above Dr. Goldstein’s medical practice office at Vandeventer Avenue and Westminster Place in St. Louis (Fig. 3). He combined a busy office practice with the time he spent working with deaf children and counseling their parents. The first class consisted of four children and the first teacher

Laryngoscope 106: May 1996 Bailey: Tribute to Max Goldstein, MD

537

Fig, 5. CID P(I it appear8 today.

was Ms. Ruth Paxson, who was initially Dr. Gold- stein’s office receptionist, and who had subsequently been trained by him (Fig. 4). The Central Institute for the Deaf has flourished and has grown into a major national resource (Fig. 5 ) for otologic research, for deaf education, and for the training of teachers.

Max Goldstein’s SczentzAc Publications

Dr. Goldstein possessed an extraordinary breadth of interest and expertise for his time. Not only was he professionally precocious, he was also

quite scholarly in his approach to teaching and pub- lishing for the education of others. A review of 20 o f his publications in The LAWNGOSCOPE serves as a re- flection of his intellectual curiosity through the course of his professional career.

1. “The Modern Therah of Suppurative Otitis Media” (1898). This article reviews the contemporary contro- versy of wet (irrigation) versus dry (cotton wipes) in the management of the draining ear. Dr. Goldstein only used irrigation occasionally and when he did so he preferred a solution of boracic acid to decrease granulation tissue and hydrazone (concentrated hy- drogen peroxide) because of its ability to disinfect small narrow recesses in the middle ear and mastoid region.

2. “Fallacies in the PbyJiology and Functions o f the L6yrinth” (1898). This article was published at a time when our knowledge of the semicircular canals and other labyrinthine structures was quite rudimentary. This report is one of the first to suggest that the vestibular system has the ability to compensate for the complete loss of function on one side.

3, “The Use and Abuse of the Eustachian Bougie” ( 1 903). The author provides a comprehensive review of an otologic device for cannulating the eustachkan tube and inflating the middle ear. He provides a contemporary perspective and emphasizes the dangers of a new galvanic bougie which had been introduced to the profession with exvavagant claims.

4. “An Unusual Case o f Spontaneous, Bilateral Hemor- rhagefimn the Ear” ( 1 903). This is a report of a rare and

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p43.6. oto-~mlectoscope, 1906. “pmleaion cabinet A vvw -8. C b - perforated base for ventllatlon; c - lens system

ghrr#-.hnntanlrinb;h-coneco~ chlmne2[;f-hr*Nby andc.” h b d = d m s t o a covel: e - asbestos puzzling case of spontaneous hemorrhage from both ears. Letters from several consultants are included in the article and the case concludes with a resolution of the prolonged and frustrating problem by taking the patient to the operating room, administering general anesthesia, cleaning and packing both ear canals with cotton gauze, and applying a plaster of paris bandage around the entire head and neck. The patient remained bandaged for almost 2 weeks, and at the end of that time was apparently cured.

5. “The Oto-Pmjertoscope” ( I 906). This is a marvelous report of an invention capable of projecting an image of a patient’s eardrum onto a screen (Fig. 6). It uti- lized a 2000-candle-power carbon arc-light source and an arrangement of mirrors and projection lenses. It included an epidiascope capable of projecting pic- tures, objects, pathological specimens, bone specimens, or any other object required for demonstration

. . . in original color and contour. . . . The piaure is unusually bright and shows every line of the illumi- nated areas distinctly. The small radiating blood ves- sels, the natural luster of the membrana tympani, the triangular light spot, pus, perforations . . . the image thrown on the small adjustable white paste-board Screen is about four cm. in diaiiieter at i t s most brilliant focal point about three feet from the projeaion IeIlS.

This article leaves us wondering about later de- velopments with this device.

6. “The Cosmetic and Plastic Surpy of the Ear” ( I 908).

\

This is Dr. Goldstein’s longest scientific article. It describes the embryology of the ear and illustrates with photographs and drawings a variety of deformities of the auricle and surgical procedures for their correc- tion. Various techniques of otoplasty are very clearly illustrated, some of which differ very little from cur- rent surgical procedures (Fig. 7).

7. “Lipoma oftbe Larynx” (1 909). This is the author‘s only publication involving the larynx. Obviously, he was quite adept at transoral endolaryngeal surgery as the article describes the removal of two relatively large lipomas arising in the left laryngeal ventricle.


539

Fig. 8. ‘position of the monochord in teatin&” (From Goldaeln MA.ThemonochordLARmc;oscoPe .1913t23r216.)

171e author employed topical anesthesia and used a small snare and scissors to accomplish this surgical excision.

8. “The Physician and the Deaf Child’’ (1910). Dr. Goldstein emphasizes a sociological approach to the deaf child stressing the unique and important role played by the otologist, the family physician, and the teacher. He notes that the first school of oral education was begun in 1867 and that by 1908 there were 12,000 students in schools for the deaf in the United States, and 56% of these students were being taught by oral methods according to his survey.

9. “The Practical Value of Lip-Reading” (1911). Dr. Goldstein reviews the importance of training deaf patients t o become better lip-readers. He appears to have been heavily influenced by Dr. James Kerr Love o f Glasgow whom he had just visited.

This is, I think, the first attempt that has been made t o interest the American oto1ogist.s as a hody, in this special form of education, and 1 appeal to c ~ r y fellow, not only for his goodwill and moral support, hut for active cooperation in an endeavor t o plan a general movement which may have for its purpose the education of the public t o the value of lip-reading. . .

This was presented before the annual meeting of the Triological Society, June 1, 191 1.

10. “The Monorhmd” (1913). The author describes an interesting instrument used by otologists in Eu- rope to evaluate hearing function (Fig. 8). It is essen- tially a mechanical audiometer, and the article apparently was an unsuccessful effort to introduce this popular European instrument to the otological com- munity in the United States.

11. “MedicalCo-operation” (1914). This is a brief ad- dres given by Dr. Goldstein on the occasion of the opening o f the Central Institute for the Deaf. He credits the Triological Society for hosting several important meetings which brought teachers and otologists together to open the dialogue concerning deaf education.

12. “The Deaf Child-A Plea fw Co-operation” ( 1 91 4). Dr. Goldstein reviews his 20 years of training, pcic- tice, and deep personal interest in deaf education. He documents the scientific progress made in educating children with blindness and hearing loss in the LJnit- ed States and credits the American Medical Associa- tion, Section on Otology, for its support and for the development o f a syllabus on the education of the deaf (The text of the syllabus is included in this article). He points out the need for cooperation across disciplinary lines as this important movement advances.

13. “Psychological Study ofthe Deaf Child’’ ( I 91 6). The author explores the psychological avenues for ap- proaching the deaf child and targets various specific strategies for educational development.

14. “The Society of Progmsiw Oral Advocates: Its Origin and Purpose” ( I 91 7) . Three years after organizing the Central Institute for the Deaf and as its class was pro- gressing through an oral education system, Ilr. Gold- stein was invited to address the annual convention o f the American Instructors of the Deaf. The invitation was subsequently withdrawn, preSUmdbly as the result of pressure from those favoring manual and sign methods of communication. This article is his plea for individualizing the approach t o deaf education on the basis of the severity of the hearing loss and other factors and is an eloquent appeal for rational selection of educational modalities.


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15. “Present Status ofthe Tmi-bing ofthe Deuf‘ ( I 91 9). In 1918 the Society of Progressive Oral Advocates was founded by Dr. Goldstein and had its organizational meeting in St. Louis. It met originally as a group of graduates from the CID teachers training classes. The following summer Dr. Goldstein gave the presiden- tial address of the society which emphasized the need for standardization and quality control in schools for the deaf. “On our shoulders rests the re- sponsibility of producing sufficient and properly qualified teachers for schools for the deaf. . .”

16. “An Acoustic Method fir Training the Deaf’ ( 1 92 1 ),

In 1920 at the Joint Convention o f the Three National Associations of Instructors of the Deaf, Dr. Goldstein recounted his role in introducing the work of Profes- sor Urbantschitsch to the United States in working with the Sisters of St. Joseph’s School for the Deaf in St. Louis. He observed that the otologic profession took little interest in this field for almost 25 years, but he was optimistic about bringing otologists and teachers of the deaf together in the future.

17, “The Classification of Dufness From the Standpoint of its Pathlogy. Functional Tests and PAgogy” ( 1 923). This article contains an effort to achieve a practical classification of the types of deafness and emphasizes the important role of tuning fork tests. He points out the lack of general acceptance of tuning fork testing and expresses the opinion that this oversight results in considerable patient mismanagement.

18. “The Potentialities ofthe Audiometer” ( 1 925). This is an excellent descriptive article at an important stage in the objective measurement o f human hearing. He describes the new technology that measures hearing in terms of dynes and expresses them graph- ically “stepping off the measurements of sound in- tensity in divisions o f ten dynes each, calibrating all dials for this purpose and ruling audiograms in squares o f ten dynes each seems to be a simple soh- tion of this difficulty.” He urges the adoption of stan- dardized audiometric forms in clinical practice.

19. “The Relation of Tactile Impression and Hearing Per- ception” ( 1 926). This is an excellent review of the com- parative anatomy and physiology o f hearing across

various animal species. He reviews contemporary projects involving experimental psychology of hearing and relates these two efforts that were being made in deaf education and in the rehabilitation o f patients with severe hearing loss.

20. “The Hard-of-Hearing Cbil6’ ( 1 93 1 ) . The author describes the expanding usefulness of audiometric screening. He provides a practical classification o f childhood hearing loss relative to the appropriate educational strategies that might be employed.

Most of Dr. Goldstein’s scientific publications appeared in The LAJWNC~SCOPE, but it should be pointed out that his writing was not limited to medical matters. This leads us into the next section, which is a hrther exploration of the family and artis- tic interests of Dr. Goldstein.

Fami@ Lue and tbe Arts Leonore and Max Goldstein were a vibrant and

important part of the social and cultural fabric of St. Louis in their day. I am indebted to Dr. Goldstein’s grandson, Tom Wolff, for the opportunity to see the ~ ~ I - S O M ~ side of this outstanding physician. Last year Tom wrote to me and expressed some thoughts so eloquently that I would like to share them with you here.

After his studies in Vienna 18931894 he returned to St. Louis. In 1895 he married Leonore Weiner of this city. In the fall of 1896 their only child-my mother-was born. This was the Same year he started The LARYNGOSCOPE. In 1914 he began CID in his officehome. By this time he had a rather impressive medical practice. It was about 1908 that he resigned from the St. Louis Symphony board and asked them to take my grandmother in his place. She remained there until 1971.

I recently learned that the St. Louis Public Li- brary has a small collection of publications of the St. Louis Art League. This was a short-lived organization 1914-1924. They were an impressive group o f cit- izens who developed many competitions-for painters, sculptors, writers, poet.., playwrights, de- signers, etc. He was one of the founders and its president from 1917-1919. He was also founder of the St. Louis League for the Hard of Hearing.

My gmndparents traveled to Europe quite f r t s -

Laryngoscope 106: May 1 996 Bailey: Tribute to Max Goldstein, MD 54 1

Fig. 9. Dr. Goldstein's colktion of Indian r e h . (From Iane HS. Tbe History of tbe CentrallrrrtuU#e for tbe oeqf: St. Lou&i: Centd Institute for the Deaf; 1981. Used* permission.) "his collection is now located with the M h o d Hlstoricd Society in St. Lo-, where it is being iesea+ched andcatalogued

quently. MAG continued to visit Vienna-studied there for a month at a time in the summers. After which they continued travel in Europe . . . Berlin, where there were some relatives, and usually ending in London, where more concerts and theater was available. Not to mention his spending hours in the old book stores.

As my grandmother would say, we travel to Eu- rope on the steamer. They were both voracious readers and they took books with them. My grandfa- ther was a true bibliomaniac. He constantly ordered medical books from Europe . . . he received book catalogues from all over-and could not resist the temptation to buy (with good taste). He purchased books everywhere he went.

In addition to books, they collected prints . . . the name in that time for etchings, lithographs, en- gravings, and drawings. When he died there were over 2000 print,%loser to 3000. They had gone to Europe about 16 times, the last being 1938. I recall their growing concern over the rise of Hitler. In addi-

tion they or I should say he, collected stamps, snuff bottles, mechanical banks, Indian relics (Fig. 91, glass paperweights, and Lord knows what else (Fig. 10). He was an avid fisherman, read and read books, and loved mysteries.

Every year or so they opened their home-as a salon-to their friends. They sent out a printed invitation and showed off recent art acquisitions. Their friends were not limited to those of wealth and position. OFEen there was a young patient who had shown interest in art. They also entertained musi- cians from the orchestra, who in those days proba- bly had an annual salary of $600 to $700. In addition there were the likes of Horowitz, Menuhin, and Bernstein .

My grandmother and her two sisters inherited a small summer house in Frankfort, Michigan. The three families took turns going there. Even if they had gone to Europe they always found time to get up to Frankfort in August, for rest and to avoid the summer heat of St. Louis. My sister and I were with them the entire summer when they were there. In 1937 and 1938 we used to catch butterflies, mount them on boards, and take them back to the museum at CID. The museum is also where he put his Indian artifacts.

Surprisingly enough, he was a chain smoker- two packs a day. He also ate two eggs every morning (they came from their own chicken house) and he ate almost nothing but red meat. He drank no al- cohol. I think if you check the early issues of The LA- RYNGOSCOPE you might find they took ads from Philip Morris or Camel.

My grandmother was a true partner in all of his professional endeavors. She was constantly solicit- ing funds for CID and of course the symphony. And as I wrote she continued to oversee The LARYNGU-


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SCWE after lie died, until 1964 when she sold it. She was a wonderhil gardener. . . they lived on about 5 acres and there were all soits o f flower I>ecls, two or more rose gardens, ;I grape arbor. lots o f trees. It was like being in the woocls. They also had ii sunken gar- den that no doubt saved some future owner the price o f excavating for ;I swimming pool.

Our family had Sunday lunch there every week without fail. And often my sister and I would be there from Saturday noon until o u r parents came Sunclay for lunch. There was always something to do and something going on there. He built a Scale niotlel doll house in his n,orkshopwhich we helped a bit. In good weather we'd he outside being tnade ;iware of birds, their songs, flowers, trees, etc. When inside we were always shown new prints o r paintings, plus we usually worked on the stamp collection. He said anyone could buy stamps at the post office . . , hut he only wanted used stamps. They weren't stamps unless they'd gone through the mail.

Sunday lunch was usually a five course afhir six if there was a guest. My grandmother insisted we depart from the table by 2 p.m.. so we could adjourn

Fig. 11. A letter from Pearl E. Lutz to Lady (Leonore) Goldstein thanking her for the purchase of The I.AIIYNGOSCOPE.

to the upstairs sitting room and hear a broadcast o f Ormandy or Toscaninni conducting. During the commercial several boxes of chocolate wcre passed-there was always some sort o f candy-usually gifts from grateful patients.

As is recorded MAG died July 1941, and after that my grandmother went on with his work. She never looked back. She spent a lot o f time at CID hut never interfered and never said, "Max would do it this way or Max wouldn't like this . . ."

After Dr. Goldstein's death, his widow, Leonore, continued to serve as the owner and publisher of The LARYNCOSCOPE. In 1964, she sold the journal t o a loy- al, longtime employee, Pearl Lutz. Mrs. Lutz was Dr. Goldstein's secretary and nurse for 25 years (1916- 1941). She managed The LARYNGOSCOPE from 1941 until 1976. The letter of appreciation to Mrs. Gold- stein (whom she always called "Lady") is shown in Figure 11.

Max Goldstein's meteoric career redefined the concept of adjectives such as "accelerated" and "precocious." Having graduated from medical school at the age of 22 and becoming a departmental chair at 25, he was elected President of the American Acade-


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TABLE 1. k m n Goldstein, MD, Lu)

April 19,1870, St. Louis, Mlsswd ~~

Born: Parents: Married: Children: EJucation:

Internship: Postgraduate:

Appointments:

President:

Honors:

Hobbies:

Founder:

William Goldstein and Hulda Lwventhal Goklsteln L.eonore Weiner of St. Mi, June 4,1895

Helen G. W& Missouri Medical Couege (now Washington

St. Louis City Hospital, 1893 otolaryngology-Bedi, Scrasbourg, Vienna,

Professor, Otology, Beaumont Hospital Medical

University), 1892

London, 18931895.

college 1895-1900 Professor, otolaryngology, st. Louis university, 1900-1912

Professor Research Otology, Washington University

Director, Department of Otolaryngology, Jewish

American Academy of Ophthalmology and

American Otologic Society, 1927 American hyngologlcal, Rhinological and

St. Louis An League, 1917-1919 Society of Progressive Oral Advocates (now National

1931-1941

Hospital 1927-1935

Otolaryngology, 1902

Otdogical Sodety, 1931

Forum on Deafness and Speech Pathology), 1917-1941

Americm Speech Comedon Associtlon, 1927-1939 Recipient oftheh. Lwis Award. 1933 Honorary LLQ degree from Washington University Collector of books, Indian artifacts. early hearing

Fishing Travel The Iaryngoscope medical purnal, le% The Central Institute for the Deaf, St. Louis, 1914 The St. h i s League for the Hard of Hearing (now

known as St. Louis Hearing and Speech Centers) The Society of Progressive Oral Advocates

devices, an, and stamps

St. Louis An League, 1914

my of Ophthalmology and Otolaryngology in 1902 at the ripe old age of 32. He served as President of the American Otological Society (1927) and the Triologi- cai Society (1931) (Table I).

Upon learning of Dr. Goldstein’s death, Dr. Har- ris P. Mosher wrote the following note of appreciation:

Dr. Goldstein’s career was one of the brightest examples of high achievement, in the specialty of otolaryngology, due to his great talent, unflagging perseverance, and singleness of purpose. His sym- pathy and understanding early went out to those whom fate had deprived of half of their birthright, to

n 1934 it wlts the St. Louis Cardinals vs. the Detroit I Tigers in the World Series, and Max Goldstein became a participant in one o f I~asel~all’s Iiuniorous anecdotes. One o f the most colorful Cardinal players. Jerome “Dizzy” Dean (the Nationltl League MVI’ that year), was struck by a bascball just behind the left ear while advanc- ing from first to second hsse. Hecause o f the force o f the blow, there was great concern that Dizzy mighr h a w suf- fered a skull fracture.

One o f the physicians evaluating his condition was Max Goldstein, who is pictured alx)ve evaluating Drnn’s hearing in the nianner of the day. Dizzy Dean ;11so had ;I series of skull x-rays which prompted the following lieadline in die morning newspaper the next day: “Skull X-rays of Dizzy Dean Reveal Nothing.” That headline stayed with Dean for the remainder o f hh career for rea- sons that are ohvious to all who have known him o r seen him as a television commentator.

those born deaf. To most of us these cases were hopeless, and we passed by on the other side. It was not so with Dr. Goldstein. In the treatment of these cases all of us marveled at his patients and envied his results.

I know no other physician who had and deserved fuller and more lasting gratitude from his patients.

1. In Manorlam, Dr. Max A. Goldstein 187C1941. LUYNGMCOPE. 1941;51:725734.

2. Lane HS. Tb H L l y ~ r b e C ~ a l l ~ t i m ~ # 4 ~ St. Louis: The ckntrdl Institute for the Deaf; 1981:3,4. Koekebeck ha, Detjen C, Calvert DR. H i m i r &fir Wag-Tb CIDGJdradn Cdlrtin. St. Lwis:

3. Goldstein MA. The -E. 1906;16:105-

4. Goldst& MA. The COMKck: and plastic surgery ofthe ear. LARyNrx-

5. GolldwdnMA.Ihemonolchonl. -m. 1913;23:21&221.

The cetural lnrrinue for the Deaf. 1984:1,2.

113.

8cope. 1908;18:82$-652.

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544 Bailey: Trlbute to Max Oddstein, MD

Documents

A Tribute to Max Goldstein, MD, Founder and Editor of The Laryngoscope