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56 pages 1 hour read

Chip Jones

The Organ Thieves: The Shocking Story of the First Heart Transplant in the Segregated South

Nonfiction | Book | Adult | Published in 2020

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Part 1, Chapters 1-4Chapter Summaries & Analyses

Part 1: “Roots”

Part 1, Chapter 1 Summary: “Case of the Missing Heart”

In May 1968, L. Douglas Wilder, an African American attorney, received a call from William Tucker, whose brother Bruce had recently died on an operating table at MCV following a head trauma. The mortician later told William that his brother’s heart and kidneys were missing. Wilder agreed to represent William Tucker and find out what happened at the hospital.

Many questions arose. Bruce had been transferred from the main hospital to St. Philip, a second-rate facility designated for Black patients. No one informed his brother that he was close to death or explained why heart surgery was performed. At the time, Richmond had no Black judges, and Black jurors were rare.

Wilder, the grandson of enslaved individuals, grew up in the segregated South. He had heard rumors about MCV and was told to stay away from it in his youth. The institution was powerful and had support from big business and government. Wilder noticed an article about the first heart transplant at MCV for a white businessman. It did not mention Bruce, who was the donor. Wilder knew that he was in for a tough fight.

Part 1, Chapter 2 Summary: “The Resurrectionists”

In the summer of 1837, Augustus Warner arrived in Richmond to start a medical school. With the sponsorship of Hampton-Sydney College, construction began to convert the old Union Hotel into that school. At the time, the city had a thriving economy, grounded in slavery and the North American continent’s second-largest market of enslaved people to provide labor for tobacco plantations and processing. Warner, an advocate of anatomical dissection, recognized that slavery could supply corpses. The 1844 catalog for the school advertised the opportunity to practice on dead bodies and touted the cool climate, which enabled dissection from October through March.

Grave robbers, dubbed resurrectionists, commonly stole the bodies of enslaved Black people and white paupers. The junior professor of anatomy at the medical school, Carter Johnson, was assigned the task of obtaining bodies and was called a demonstrator. At this time, such grave robbery was common in other places, such as Harvard. When the Richmond resurrectionists engaged in price gouging, the two competing schools, the University of Virginia and the medical school in Richmond, struck a deal about the allocation of bodies: Two-thirds would go to Richmond. In 1854, the medical school broke ties with Hampden-Sydney and won a charter from the state legislature, creating the Medical College of Virginia. In the summer of 1855, Carter Johnson, the school’s demonstrator, died in a maritime accident.

Part 1, Chapter 3 Summary: “The Anatomy Men”

Both England and the US had a long and violent history of grave robbery. The crime routinely outraged citizens. In New York City, citizens rioted in protest in 1787 and again in 1788. However, a social hierarchy existed for both the dead and the living. The higher one’s social standing, the closer one was buried to the church, which protected graves. African Americans, angry with thefts from a Black burial ground, complained to no avail. After a group of boys looked in the windows at City Hospital in 1788 and witnessed the desecration of dead bodies, the hospital was sacked and medical students were beaten. John Jay, the first chief justice of the US Supreme Court, was injured in the mayhem. Given the public sympathy for the protesters, New York’s governor summoned militia from outside the city to stop the riot. In the aftermath, a law was passed to prevent the removal of dead bodies for dissection, but it did not end the practice or the controversy. Elsewhere, similar issues arose, inciting protests in Philadelphia; Baltimore; New Haven, Connecticut; and Zanesville, Ohio. The public expressed anger at physicians for “despoiling […] sacred grounds” (28).

The education of US doctors was tied to a system of grave robbery that was racially prejudiced and immoral. At MCV, a new demonstrator, Arthur Peticolas, replaced Johnson. In 1847, the American Medical Association (AMA) was established, in part to distinguish doctors from traditional healers and to set higher standards for training. This training, however, depended on a supply of corpses.

Part 1, Chapter 4 Summary: “‘The Limbo of the Unclaimed’”

With its unusual architecture, the new medical school in Richmond later came to be called the Egyptian Building. It had two important and practical features, however. First, the building had high windows, which prevented outsiders from looking in. Second, it had foreboding-looking obelisks, which were meant to frighten outsiders and serve as a no-trespassing sign. Soon after it opened, rumors of strange occurrences in graveyards began, and citizens complained about the smell emanating from the building. The demonstrator was tasked with keeping the dissecting rooms clean. Dried-up wells were used to dispose of body parts. Still, doubts persisted and reached the white community. In response, the faculty established new guidelines in 1854 for handling deceased patients, claiming that “no white person is ever dissected in the college” (38).

Ironically, the face of MCV’s public relations problem was Chris Baker, an African American, who technically was the janitor. In reality, he was responsible for stealing, preparing, and helping dissect bodies. He took the job over from his stepfather and worked at MCV from the 1870s until his death in 1919. In December 1882, he and two white medical students were arrested for attempting to rob graves at African American cemeteries. However, the governor quickly pardoned all three. In 1884, the Virginia legislature passed a law that made body snatching a felony punishable by five to 10 years in prison. The law allowed for the legal donation of bodies and established dissection classes, allowing prisons and almshouses as sources of bodies. Jones explains that the law drew a boundary between the respectable working poor and those below.

John Mitchell Jr., a crusading journalist who was born into enslavement, knew that Baker was still being sent to graveyards. Thus, the law had limited success. The Black press expressed a “sense of physical violation and moral outrage” (42) at the practice of grave robbery. In comparison, Jones notes the paternalistic tone of MCV’s account of its history.

Part 1 Analysis

In telling Bruce Tucker’s story, Jones explains the historical context in which it took place. That context is critical to one of the book’s primary themes: Medical Racism. The removal of Bruce’s organs occurred in 1968, during the civil rights movement. The South, including Richmond, Virginia, had not implemented de-segregation, and attitudes lagged behind the change in laws. The South celebrated states’ rights to enforce segregation and took pride in its Confederate history, as Jones documents in Richmond. Additionally, Jones provides a broader context for medical racism when he explains MCV’s history, noting that it was founded at a time when slavery was still legal and active. Richmond boasted the second-largest market of enslaved people in the North American continent and an economy reliant on tobacco, which was harvested and processed by enslaved people.

In these opening chapters, Jones explores how medical education relied on grave robbery in the 19th century. The public deplored both grave robbery and dissection. Highlighting how the medical community ignored public sentiment, Jones notes the disconnection between scientific experimentation in medicine and ethical practice, introducing another of the book’s main themes: Scientific Experimentation and Ethics. In Richmond, the graves of African Americans and white paupers were targeted for robbery. This practice is emblematic of medical racism. Grave robbery was commonplace elsewhere in the US and England as well. Baltimore, Maryland was especially known for the practice: Stolen bodies were sent to medical schools via railroad. Because the public frowned on dissection, medical schools did it secretly. Jones thus emphasizes the design of MCV, specifically its high windows and forbidding obelisks.

Medical students, middlemen, and professionals often stole the bodies. Jones notes the roles of “demonstrators” and janitors in this work. Given the public outrage over the practice, the government eventually passed laws prohibiting it. Nevertheless, the practice continued, and the authorities often looked the other way. Jones points to the observation that Chris Baker continued to take bodies from graveyards after the 1884 law was passed that made it a felony. Here, Jones introduces another of the book’s primary themes: Legal Oversight of Medical Practice. The book emphasizes the lack of legal oversight in medical practice at that time.

Additionally, Jones alludes to the fear in African Americans of being around graveyards at night because of documented cases of murder for the sake of obtaining bodies. These fears were understandable. In Edinburgh, Scotland, William Burke was infamous for killing 16 people and selling their corpses to medical schools. Other known cases had occurred in Cincinnati, Ohio, and Baltimore, Maryland. Thus, in Richmond, the murder of an enslaved person and disappearance of the body would likely not be investigated.

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