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The Making of Surgeon to Soldiers 2024 Edition

Colonel (Retired), USAF Jeremy W. Cannon, MD, SM, FACS

At this year’s ESS annual Symposium, we look forward to unveiling the 2024 edition Surgeon to Soldiers by Edward D. Churchill, MD, FACS. This monograph on Dr. Churchill’s wartime experiences as chief surgical consultant in the North African and Mediterranean theater of operations (MTO) in World War II was first published in 1972. This book was one of his last acts as an author as he passed away of a heart attack later that year while on his farm in Vermont. For this newsletter, I thought it would be interesting to recount some of the background details on the genesis of this new edition.

Motivation for this Project

First, why was it necessary to re-publish this historic book? To be very clear, this reflective memoir certainly can stand alone as it has for more than 50 years. Yet, as a new generation of military surgeons sought to purchase copies of this historic reference, it became increasingly difficult to find intact copies at an affordable price. Even the most reliable outlets for rare books listed this out-of-print book as either “unavailable” or at an exorbitant price. Ultimately, the wisdom contained in these pages risked being lost to history. To make it readily accessible at an affordable price, a new edition was required.

The need to re-publish this historic work was first recognized by Jay Johannigman, MD, FACS, in Iraq in 2006 after John Holcomb, MD, FACS, introduced him to “the best book he [Holcomb] had ever read to prepare a military surgeon for deployment.” I first heard the idea of re-publishing Surgeon to Soldiers at an American Association for the Surgery of Trauma annual meeting a few years later. At our early morning military liaison committee meeting at that conference, Jay Johannigman and Juan Asensio, MD, PhD, FACS, FCCM, enthusiastically promoted this concept. Having read Surgeon to Soldiers a few years earlier and having discovered how hard it was to find a copy when I wanted to give one away as a gift, I instantly recognized the wisdom of this proposal.

Early Efforts

As some of you will appreciate, the path to the finish line in the publishing world is often nonlinear. Consequently, like many other pursuits in life, major projects like this require persistence and a willingness to actively learn along the way. The first thing I learned is this book still falls under copyright protection; however, the original publisher (Lippincott) no longer exists. To further add to the challenge, the trail of past royalty checks had completely disappeared. I was fortunate to connect with Keith Donnellan thanks to a little assist from LinkedIn. Donnellan is a senior editor at Wolters Kluwer, the company that had acquired Lippincott years ago, and he is responsible for their surgical product line, including notable titles like The ICU Book and Mastery of Surgery. He embraced the vision of this unique project—re-publishing a wartime memoir with modern commentary for the benefit of military and civilian surgeons and medical planners alike—and became an important advocate for the project’s success.

 

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Figure 1. Copyright of the original Surgeon to Solders by Colonel Edward D. Churchill, MD, FACS.

At just about the same time, after lots of digital and archival digging, both Donnellan and I found the original copyright for Surgeon to Soldiers in the Library of Congress (Figure 1, above). Interestingly, I also encountered some of Dr. Churchill’s correspondence with his editor from Lippincott in my research in the Countway Library in Boston (Figure 2, below). Now, the challenge was to find any surviving family that might hold claim to this copyright. More internet digging, including a search in Ancestry.com turned up one of Dr. Churchill’s grandchildren, Eric Churchill, MD. He works in Family Practice just outside of Boston and serves as the de facto ambassador for the Churchill family on all aspects related to the Churchill medical legacy. I will forever cherish my first telephone conversation with Eric who generously took time to share his family’s perspective on his late grandfather’s contributions to military and civilian surgery. Eric then supplied several digitized historic photographs that greatly enhanced my presidential address and write-up on Expeditionary Surgeons published in the Journal of the American College of Surgeons. Eric rallied the support of his family for publishing a new edition of the book, and he has proven to be a great source of encouragement along the way.

Additional key stakeholders then rallied around this project with very strong support. Michael Sutherland, MD, MBA, FACS, Director of ACS Member Services, was instrumental in our meetings with the publisher that convinced them to back this project. Mary M. (Peggy) Knudson, MD, FACS, and Eric Elster, MD, FACS, also provided key endorsements that led to project approval.

Figure 2. (A) Correspondence between Churchill and his Editor at Lippincott regarding the original publication. (B) A note of congratulations from General Mark Clark, commander of the 5th Army that invaded Italy who went on to become President of the Citadel. (C) Letter from the Chair of the ACS Board of Governors, Bentley Colcock. (D) Letter from Michael DeBakey indicating that a copy of the original Surgeon to Soldiers must be in the DeBakey library. Reprinted from the Edward Delos Churchill papers, 1840-1973. HMS c62, with permission from Harvard Medical Library, Francis A. Countway Library of Medicine, Boston, MA.

Figure 2A.

Figure 2B.

Figure 2C.

Figure 2D.

Putting It All Together

Leading up to the project launch, we realized that the publisher no longer had any copies of this book in its archives, so we had to find a willing donor to contribute a copy of the book for digital processing. Dr. Asensio, our ad-hoc ESS historian, selflessly kept this project moving along by offering up his copy of Surgeon to Soldiers. Of course, this required that the publisher “deconstruct” Dr. Asensio’s sacrificial book (Figure 3, below). We plan to frame this book in a shadow box and present it to the College as a memento to both the collaborative spirit and the sacrifice required to complete this project.

Figure 3. Sacrificial copy of Surgeon to Soldiers required to digitize the book for re-publication. Book donation and photo courtesy of Juan Asensio.

One of my COVID-19 pandemic pleasures was to take a deep dive into the realm of classic literature by reading the entirety of Dante’s Divine Comedy. Among many outstanding hard-bound and now digital translations available, the one by Dorothy Sayers—Oxford graduate, author of many great murder mysteries, and contemporary of C. S. Lewis—stands out as a richly illustrated and imminently readable rendering of this great work. I wanted to capture some of this same effect by providing a map for those like me who are generally unfamiliar with the MTO geography. We also included a timeline of major events mentioned in the book for context and a list of key references at the beginning to encourage all readers to immerse themselves in the world of combat casualty care past and present as we anticipate the challenges of the future.

Lastly, and most importantly, many of you now reading this report offered your invaluable time, talent, experience, and insights to enhance the original book with modern commentary. My goal was to pair early career surgeons with more senior military and civilian surgical mentors. As you will see, there are some variations on this theme in the author list, but generally, the rubric held up.

In total, we had more than 100 authors, including many distinguished, honorary, and other ESS members; an ID physician (Brigadier General Clinton K. Murray, MD, MSS, now commander of the Joint Base San Antonio, US Army Medical Center of Excellence); and military historian Emily Mayhew. Surgeon to Soldiers is slated to be published in October, just in time for the ACS Clinical Congress 2024 (Figure 4, below). Thank you all for your invaluable contributions. May they help minimize death and suffering on future battlefields.

Figure 4. Cover of the 2024 edition of Surgeon to Soldiers with an anticipated release date of October 2024 at the Excelsior Surgical Society Annual Symposium.