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Virginia Apgar, the Woman Whose Name Saves Newborns

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March of Dimes/Library of Congress via Wikimedia // Public Domain

How important is Dr. Virginia Apgar to the modern practice of obstetrics? Here is the way the National Library of Medicine’s website puts it: “[E]very baby born in a modern hospital anywhere in the world is looked at first through the eyes of Dr. Virginia Apgar.”

Apgar created a quick and reliable way to determine the health of a newborn baby, an examination that is usually referred to today as a baby’s Apgar test. Before her test, invented in 1952, there was no objective way to determine the health of a newborn, and babies were given little medical attention immediately after birth. Problems often escaped notice until they became critical.

To determine an Apgar score, a nurse, midwife, or physician examines the baby for five criteria—skin color, heart rate, reflexes, muscle tone, and breathing—at both one minute and five minutes after birth (and sometimes in further follow-up tests). Each criterion is given zero, one, or two points. A score over seven is considered normal. A score below three is seriously low. Babies often have lower scores at one minute after birth, but by five minutes have perked up and score in the normal range.

Because a common mnemonic for the criteria uses the letters APGAR (appearance, pulse, grimace, activity, and respiration) to create a “backronym,” or retrofitted acronym, many people do not realize Apgar is an eponym—named after a person. Apgar herself was often amused when people were surprised to find she was a real individual.

But in person, Virginia Apgar was hard to forget. She was a pioneer in several fields of medicine, helping to establish anesthesiology as a medical specialty, working to study and improve obstetrical anesthesia, and advancing the study of birth defects. She helped organize and administer the first Division of Anesthesia at Columbia University College of Physicians & Surgeons, her alma mater, and became the first woman to be a full professor there.

As a teacher of medicine, Apgar was known for her uninhibited sense of humor and could talk about anything without embarrassment. Because her own tailbone was at an odd angle, she would have medical students feel for it to help them learn how to administer spinal anesthetics. She always traveled with a resuscitation kit that included a penknife and an endotracheal tube (a plastic tube inserted into the windpipe to ventilate the lungs). "Nobody, but nobody, is going to stop breathing on me!" she reportedly declared.

In the late 1950s, after Apgar had already made a name for herself with her work in anesthesiology and the creation of the Apgar score, she turned her attention to the study and prevention of birth defects. She was asked to join what was then the National Foundation for Infantile Paralysis-March of Dimes (now simply the March of Dimes), which started researching and advocating for those with birth defects after it met its original goal of creating a vaccine against polio. As a director and later vice president at the March of Dimes, Apgar championed research that showed how factors such as infectious diseases, radiation exposure, substance abuse, and chemical exposure could cause birth defects. In her years with the organization, she also traveled the country speaking and calling attention to the issue of birth defects.

Outside of medicine, Apgar was a gardener, fly fisherman, and took flying lessons. Throughout her life, she was an excellent amateur violinist who often played in chamber ensembles. She even learned to make stringed instruments, including violins, a viola, and a cello.

In fact, her work as an amateur luthier even led her to a short career as a thief. In 1957, a musician friend noticed that a maple shelf in a phone booth at Columbia-Presbyterian Medical Center would make an excellent back for a viola. The friend and Apgar set out to take the shelf at night and replace it with another piece of wood, which they managed to stain to just the right color. But the piece they brought was slightly too long, and needed to be shortened. While her friend went into a nearby ladies’ room to do the sawing, Apgar guarded the door. The piece became the back of Apgar’s viola, and was one of four instruments she handcrafted that were played by pediatricians at a 1994 ceremony to honor a commemorative U.S. stamp with Apgar’s image. (The instruments were later donated to Columbia, where they can still be rented.)

Virginia Apgar died of liver disease at the age of 65 in 1974, but her name lives on around the world—even though many don’t know it—in the life-saving score she designed for infants.

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P.G. Wodehouse's Exile from England
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You don’t get more British than Jeeves and Wooster. The P.G. Wodehouse characters are practically synonymous with elevenses and Pimm’s. But in 1947, their creator left England for the U.S. and never looked back.

Pelham Grenville Wodehouse, better known as P.G., was living in northern France and working on his latest Jeeves and Wooster novel, Joy in the Morning, when the Nazis came knocking. They occupied his estate for a period of time before shipping him off to an internment camp in Germany, which he later said he found pretty pleasant:

“Everybody seems to think a German internment camp must be a sort of torture chamber. It was really perfectly normal and ordinary. The camp had an extraordinarily nice commander, and we did all sorts of things, you know. We played cricket, that sort of thing. Of course, I was writing all the time.”

Wodehouse was there for 11 months before being suddenly released to a hotel in Berlin where a man from the German foreign office named Werner Plack was waiting to meet him. Wodehouse was somewhat acquainted with Plack from a stint in Hollywood, so finding him waiting didn't seem out of the ordinary. Plack advised Wodehouse to use his time in the internment camp to his advantage, and suggested writing a radio series about his experiences to be broadcast in America.

As Plack probably suspected, Wodehouse’s natural writing style meant that his broadcasts were light-hearted affairs about playing cricket and writing novels, This didn’t sit too well with the British, who believed Wodehouse was trying to downplay the horrors of the war. The writer was shocked when MI5 subjected him to questioning about the “propaganda” he wrote for the Germans. "I thought that people, hearing the talks, would admire me for having kept cheerful under difficult conditions," he told them in 1944. "I would like to conclude by saying that I never had any intention of assisting the enemy and that I have suffered a great deal of mental pain as the result of my action."

Wodehouse's contemporary George Orwell came to his aid, penning a 1945 an essay called “In Defense of P.G. Wodehouse." Sadly, it didn’t do much to sway public opinion. Though MI5 ultimately decided not to prosecute, it seemed that British citizens had already made up their minds, with some bookstores and libraries even removing all Wodehouse material from their shelves. Seeing the writing on the wall, the author and his wife packed up all of their belongings and moved to New York in 1947. They never went back to England.

But that’s not to say Wodehouse didn’t want to. In 1973, at the age of 91, he expressed interest in returning. “I’d certainly like to, but at my age it’s awfully difficult to get a move on. But I’d like to go back for a visit in the spring. They all seem to want me to go back. The trouble is that I’ve never flown. I suppose that would solve everything."

Unfortunately, he died of a heart attack before he could make the trip. But the author bore no ill will toward his native country. When The Paris Review interviewed Wodehouse in 1973, they asked if he resented the way he was treated by the English. “Oh, no, no, no. Nothing of that sort. The whole thing seems to have blown over now,” he said.  He was right—the Queen bestowed Wodehouse with a knighthood two months before his death, showing that all was forgiven.

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Mata Hari: Famous Spy or Creative Storyteller?
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Nearly everyone has heard of Mata Hari, one of the most cunning and seductive spies of all-time. Except that statement isn't entirely true. Cunning and seductive, yes. Spy? Probably not. 

Margaretha Geertruida Zelle was the eldest daughter of a hat store owner who was quite wealthy thanks to some savvy oil investments.  When her mother died, her father remarried and shuffled his children off to various relatives. To escape, an 18-year-old Margaretha answered an ad in the paper that might have read something like this: "Dutch Colonial Army Captain Seeks Wife. Compatibility not important. Must not mind blatant infidelity or occasional beatings."

She had two children with Captain Rudolf MacLeod, but they did nothing to improve the marriage. He brazenly kept a mistress and a concubine; she moved in with another officer. Again, probably looking to escape her miserable existence, Margaretha spent her time in Java (where the family had relocated for Captain MacLeod's job) becoming part of the culture, learning all about the dance and even earning a dance name bestowed upon her by the locals—"Mata Hari," which meant "eye of the day" or "sun."

Her son died after being poisoned by an angry servant (so the MacLeods believed).

Margaretha divorced her husband, lost custody of her daughter and moved to Paris to start a new life for herself in 1903. Calling upon the dance skills she had learned in Java, the newly restyled Mata Hari became a performer, starting with the circus and eventually working her way up to exotic dancer. 

To make herself seem more mysterious and interesting, Mata Hari told people her mother was a Javanese princess who taught her everything she knew about the sacred religious dances she performed. The dances were almost entirely in the nude.

Thanks to her mostly-nude dancing and tantalizing background story, she was a hot commodity all over Europe. During WWI, this caught the attention of British Intelligence, who brought her in and demanded to know why she was constantly traipsing across the continent. Under interrogation, she apparently told them she was a spy for France—that she used her job as an exotic dancer to coerce German officers to give her information, which she then supplied back to French spymaster Georges Ladoux. No one could verify these claims and Mata Hari was released.

Not too long afterward, French intelligence intercepted messages that mentioned H-21, a spy who was performing remarkably well. Something in the messages reminded the French officers of Mata Hari's tale and they arrested her at her hotel in Paris on February 13, 1917, under suspicion of being a double agent.

Mata Hari repeatedly denied all involvement in any spying for either side. Her captors didn't believe her story, and perhaps wanting to make an example of her, sentenced her to death by firing squad. She was shot to death 100 years ago today, on October 15, 1917.

In 1985, one of her biographers convinced the French government to open their files on Mata Hari. He says the files contained not one shred of evidence that she was spying for anyone, let alone the enemy. Whether the story she originally told British intelligence was made up by them or by her to further her sophisticated and exotic background is anyone's guess. 

Or maybe she really was the ultimate spy and simply left no evidence in her wake.

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