Robert Bentley Todd

Robert Bentley Todd
Robert Bentley Todd
Born 9 April 1809
Dublin, Ireland
Died 30 January 1860(1860-01-30) (aged 50)
London, England
Alma mater Trinity College, Dublin BA,
Pembroke College, Oxford MS, BM, DM
Known for Todd's palsy
Scientific career
Fields medicine

Robert Bentley Todd (9 April 1809 – 30 January 1860) was an Irish-born physician who is best known for describing the condition postictal paralysis in his Lumleian Lectures in 1849 now known as Todd's palsy. He was the younger brother of noted writer and minister James Henthorn Todd.

Early life

The son of physician Charles Hawkes Todd (1784–1826) and Eliza Bentley (1783–?), Robert was born in Dublin, Ireland, 9 April 1809. He attended day school and was tutored by the Rev. William Higgin (1793–1867), who later became bishop of the Diocese of Derry and Raphoe.

Todd entered Trinity College, Dublin in 1825, intending to study for the bar. When his father died the next year, he switched to medicine and became a resident pupil at a hospital in Dublin. He was a student of Robert Graves, and graduated B.A. at Trinity in 1829. He became licensed at the Royal College of Surgeons in Ireland two years later.

Professional life

Pembroke Chapel Quad.
Statue of Robert Bentley Todd at King's College Hospital.
A meeting of the College of Physicians in the early 19th century.

He then moved to London, where he practised medicine and lectured. He received a M.S. at Pembroke College, Oxford in 1832, a B.M. the following year, and a D.M. in 1836. He travelled widely in Europe, lecturing and becoming acquainted with a number of eminent men in his field. He took the license of the Royal College of Physicians in 1833, became a Fellow in 1837, and a Censor in 1839–1840. He was made a Fellow of the Royal Society and served on the council in 1838–1839. In 1836–1837 he served on a sub-committee of the British Association to inquire into the motions of the heart, and in 1839–1840 was Examiner for the University of London. In 1844 he was elected Fellow of the Royal College of Surgeons.

Todd's abiding interests were in physiological medicine (a field then in its infancy) and in the improvement of hospital nursing, and always held to a high standard of general and religious knowledge. He became a Professor at King's College London in 1836 and was prominent in the opening of King's College Hospital in 1840, and in the founding of its new building in 1851. It was largely through his advocacy that the Sisters of St. John's commenced nursing at King's College Hospital.

Todd's increasing practice forced him to resign his professorship in 1853, and in the final years of his life his practice grew enormously. In failing health, he was finally forced to give up his clinical lectures at the hospital that he had helped found.

Robert Bentley Todd died in his consulting rooms at his home located at 26 Brook Street, Grosvenor Square, Westminster, on 30 January 1860. He was buried at All Souls, Kensal Green, 4 February 1860. At Hassel by Hull, Yorkshire, Robert married Elizabeth Mary née Hart (1814–?) 20 December 1836. The younger sister of Capt. John Hart M.P. (1808–1873) [Australian Dictionary of Biography], Elizabeth was baptised at St. John's, Hackney, the daughter of journalist John Harriot Hart and Mary née Glanville on 23 June 1814. In one of the most sensational cases of its day, John Herriot Hart co-owner The Whig Independent newspaper was imprisoned in Gloucester Goal for liable [Annual Register vol 72 p. 74], before being transported to Tenerife. It is presumed that he died on the return voyage to England.

The children of Robert Bentley Todd & Elizabeth née Hart; Elizabeth Marion Todd (1841–1917) baptised at St. Margaret's, Westminster, 23 June 1841, died at 2 Connaught Square, 8 July 1917 [Times 8 July 1917, p. 1], Alice Margaret (b. 1843), Bertha Jane Johnson (1846–1927) born 20 February 1846, baptised St. Martin in the Fields, 5 March 1846, wife of Rev. Arthur Henry Johnson C.B.E. (1845–1927) lecturer at Oxford [[[Alumni Oxonienses]] 1715–1886] and James Henthorn Todd (1848–1891) baptised at St. Martin in the Fields 23 November 1847, who died near Bombay, India, 14 August 1891 [Times 20 August 1891, p. 1]. A statue of Todd was erected in the great hall of King's College Hospital.

Legacy

Todd was a popular lecturer, and was noted for his accuracy in the observation of disease, correctness of diagnosis, and clarity and exactness in expressing his views. He was the first to lay down definite principles for the treatment of serious cases of fever. In his Lumleian lectures he discussed the nature and treatment of various forms of delirium, and showed the significant role that exhaustion played in patient deterioration, and how bleeding and lowering remedies contributed to deterioration, while supporting treatment was followed by relief.

Todd was a prolific contributor to medical publications, including The Cyclopaedia of Anatomy and Physiology. He immediately integrated newly available technology, particularly the microscope, into the study and practice of medicine, and was a driving force in raising the standards of medical knowledge.

Todd is remembered for his prescription of a hot drink of brandy, canella (white cinnamon), sugar syrup and water. This is called a Hot toddy.[1]

Partial bibliography

Among Todd's publications were

  • The Cyclopaedia of Anatomy and Physiology (1835–1859, with other notables)
  • Gulstonian Lectures on the Physiology of the Stomach (1839)
  • Physiological Anatomy and Physiology of Man (1843–1856, with W. Bowman) — this was among the first works in which histology played an important role (Philadelphia 1857 edition)
  • Practical Remarks on Gout, Rheumatic Fever, and Chronic Rheumatism of the Joints (1843) (Croonian Lecture 1843)
  • Description and Physiological Anatomy of the Brain, Spinal Cord, and Ganglions (1845)
  • Lumleian Lectures on the Pathology and Treatment of Delirium and Coma (1850)
  • Clinical Lectures (1854–1857–1859, in three volumes)
  • Contributions to the Transactions of the Royal Medical and Chirurgical Society from 1833 through 1859 ('chirurgical' is an obsolete term meaning 'surgical')
  • Ten articles to the Cyclopaedia of Medicine from 1833 to 1835, including discussions of paralysis, pseudo-morbid appearances, suppuration, and diseases of the spinal marrow

References

  1. Lyons, Paddy (2013). Romantic Ireland: From Tone to Gonne. Cambridge: Cambridge Scholars Publishing. p. 150. ISBN 9781443853583.
  •  "Todd, Robert Bentley". Dictionary of National Biography. London: Smith, Elder & Co. 1885–1900.

Citations

  • McIntyre, Neil (February 2008). "Robert Bentley Todd (1809–60)". Journal of Medical Biography. 16 (1): 2. doi:10.1258/jmb.2005.005068. PMID 18463057.
  • Reynolds, E H (December 2005). "Vis attractiva and vis nervosa". J. Neurol. Neurosurg. Psychiatry. 76 (12): 1711–2. doi:10.1136/jnnp.2005.073858. PMC 1739457. PMID 16291899.
  • Todd, Robert Bentley (July 2005). "The Lumleian Lectures for 1849. On the pathology and treatment of convulsive diseases". Epilepsia. 46 (7): 995–1009. doi:10.1111/j.1528-1167.2005.10205.x. PMID 16026551.
  • Reynolds, Edward H (July 2005). "Robert Bentley Todd's electrical theory of epilepsy". Epilepsia. 46 (7): 991–4. doi:10.1111/j.1528-1167.2005.11205.x. PMID 16026550.
  • Reynolds, Edward H (September 2004). "Todd, Faraday, and the electrical basis of brain activity". Lancet Neurology. 3 (9): 557–63. doi:10.1016/S1474-4422(04)00842-7. PMID 15324724.
  • Reynolds, Edward H (August 2004). "Todd, Faraday, and the electrical basis of epilepsy". Epilepsia. 45 (8): 985–92. doi:10.1111/j.0013-9580.2004.12004.x. PMID 15270768.
  • Binder, Devin K (February 2004). "A history of Todd and his paralysis". Neurosurgery. 54 (2): 480–6, discussion 486–7. doi:10.1227/01.NEU.0000103490.49537.37. PMID 14744294.
  • Lyons, J B (April 1998). "Some contributions of Robert Bentley Todd". Journal of the history of the neurosciences. 7 (1): 11–26. doi:10.1076/jhin.7.1.11.13098. PMID 11620236.
  • Reynolds, E (August 2001). "Todd, Hughlings Jackson, and the electrical basis of epilepsy". Lancet. 358 (9281): 575–7. doi:10.1016/S0140-6736(01)05710-5. PMID 11520547.
  • Pearce, J.M.S. (March 1994). "Robert Bentley Todd (1809–60) and locomotor ataxia". J. Neurol. Neurosurg. Psychiatry. 57 (3): 359. doi:10.1136/jnnp.57.3.359. PMC 1072829. PMID 8158187.
  • Pearce, J M (March 1994). "Robert Bentley Todd (1809–60) and Todd's paralysis". J. Neurol. Neurosurg. Psychiatry. 57 (3): 315. doi:10.1136/jnnp.57.3.315. PMC 1072820. PMID 8158178.
  • Helmstadter, C (1993). "Robert Bentley Todd, Saint John's House, and the origins of the modern trained nurse". Bulletin of the history of medicine. 67 (2): 282–319. PMID 8329858.
  • Goldblatt, D (September 1986). "The great names of our profession. Robert Bentley Todd (1809–1860)". Seminars in neurology. 6 (3): 332–5. doi:10.1055/s-2008-1041478. PMID 3332438.
  • Webb, Alfred (1878). "Wikisource link to Todd, Robert Bentley". A Compendium of Irish Biography. Dublin: M. H. Gill & son. Wikisource 
  • Todd, Robert Bentley, The Cyclopaedia of Anatomy and Physiology (1836–1852) as fullscan from the original or from Google Books Search (1859).
  • Todd, Robert Bentley (1839). On the Structure of the Mucous Membrane of the Stomach. London: Wilson & Ogilvy.
  • Todd, Robert Bentley (1844). Vorlesungen über Gicht und Rheumatismus (in German). Kollmann.
  • Todd, Robert Bentley (1845). The descriptive and physiological anatomy of the brain, spinal cord and ganglions, and of their coverings. London: Sherwood, Gilbert, and Piper. Retrieved 3 August 2008.
  • Todd, Robert Bentley (1856). Clinical Lectures on Paralysis, Certain Diseases of the Brain, and Other Diseases of the Brain (second ed.). London: John Churchill. Retrieved 3 August 2008. available for full download
  • Todd, Robert Bentley; Bowman, William (1857). The Physiological Anatomy and Physiology of Man. Philadelphia: Blanchard and Lea. Retrieved 3 August 2008. available for full download
  • Todd, Robert Bentley (1857). Clinical Lectures on Certain Diseases of the Urinary Organs: And on Dropsies. Philadelphia: Blanchard and Lea. Retrieved 3 August 2008. available for full download
  • Todd, Robert Bentley (1860). Clinical Lectures on Certain Acute Diseases. Philadelphia: Blanchard and Lea. Retrieved 3 August 2008. available for full download
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