James Y. Bradfield, MD Several
adjectives describe my perception of my colleague and
good friend: precise, orderly, careful, scholarly,
gentlemanly, inquisitive, affable, caring, imperturbable,
and well informed. Ben was, inarguably, just a good man,
a heck of a good doctor, an immense credit to his chosen
profession.
Ben and I met soon after I came to Dallas in 1950 to
set up a practice of internal medicine in the Baylor
University Medical Center community. Fifteen years later,
in 1965, he invited me to share medical director duties
at Fidelity Union Life Insurance Co. Together, then, for
some 30 years we pursued the somewhat esoteric discipline
of life insurance medicinea stochastic exercise, as
it were, in pondering the imponderable and
estimating the inestimable.
By curious coincidence, a few years ago Ben and I fell
victim to a common ailment. By sharing complaints in
common, periodic reviews of current literature, and
respective coping strategies, we got to know each other
very well indeed!
Several weeks ago, Ben acquired a vicious and
peculiarly implacable pneumonia, to this day an enigma as
to cause and utterly refractory to all therapy. In the
wee hours of Friday, October 29, 1999, death rescued Ben
from his stricken earthly body, and he vanished into the
swirling shadowy mists of eternity. I believe his
destination to be a place where there is no pain nor
sorrow nor crying nor death, for these things shall have
passed away.
So nowadios, old friend, adios. Hope you had a
wonderful trip. See you soon, for the months and years
flee quickly now.
Tom M. Dees, MD
What an honor and a privilege to have had Ben Merrick
not only as a close friend for 37 years but as a partner
for 25 yearsespecially in those beginning,
formative years when he taught me the art of
the practice of medicine. I shall be forever grateful for
the time he spent with me.
To have practiced medicine for 25 years in the same
office with this man was truly a unique experience.
Although he began in humble surroundings, Ben parted this
life a giant among men, with the total respect and deep
admiration of not only his many patients but his peers as
well. Physicians of his caliber are few and far between.
He will be deeply missed by all with whom he made
contact.
John S. Fordtran, MD
For the last 2 years, I met with Ben Merrick several
times a month to discuss the book being written to
celebrate Baylor's 100th birthday. Ben became one of the
best friends I have ever had. The meetings stopped only
when Ben became ill.
Ben had an intense interest in medical history. His
description of Baylor doctors and nurses in the 56th
Evacuation Hospital has been published (1, 2). I will try
to relate a few of the other stories Ben told me about
his professional life in Dallas, which I hope will be of
interest to the many Baylor doctors who loved Ben but
didn't get a chance to talk with him as much as I did.
Ben's practice of internal medicine began in early
1946 in rented office space in a 2-story building owned
by Dr. Edwin Rippy on Fairmount Street in the Oak Lawn
area. Fairmount was a street with a dozen or more
doctor's offices in 1- or 2-story homelike structures,
comprising a medical neighborhood of various specialties,
most of the physicians being on the Baylor University
Hospital staff. Later he moved to a 2-story former
residence on Cedar Springs, still in the Oak Lawn area.
His office was downstairs, and for a time he lived
upstairs with his family. He charged $3 for an office
visit and $5 for a house call. The office procedures he
did were similar to those of many internists then,
including chest fluoroscopy, chest x-rays, upper
gastrointestinal barium studies, and barium enemas using
the x-ray unit he had bought; electrocardiograms; and
simple laboratory studies such as blood counts and
urinalyses.
Building a practice was a slow process, and he had a
lot of time on his hands. He drove long distances to make
residence visits. He was also receptive to earning pay
for medical services outside the office or hospital.
Insurance company physicals were welcome. Dr. Tinsley
Harrison, chief of medicine at Southwestern Medical
School, had created a housestaff teaching program at the
McKinney Veterans Hospital. In 1946 Dr. Harrison arranged
for Drs. Howard Heyer, Elias Strauss, and Ben Merrick to
be paid $180 per month for twice-weekly trips to McKinney
to do teaching rounds with the housestaff there.
Ben was also on call for several hotels. One night he
received a call to a hotel to see a Turkish man. For
rather vague complaints the patient requested cupping on
his back. The patient produced a dozen or more small
glass cups made for that purpose. Being curious, Ben
agreed. After a bit of coaching, Ben proceeded to apply
the cups to the skin of the back immediately after
setting fire to a wisp of cotton in each cup, the flame
extinguishing immediately on application of cup to skin.
Removal of the cups left multiple small rounded areas of
petechiae. The patient seemed satisfied, but there
was no long-term follow-up.
Also in 1946, through the influence of Dr. Tinsley
Harrison and Dr. Henry Winans, Ben became the first
director of internal medicine education at St. Paul
Hospital, then less than a mile from Baylor Hospital.
This was a part-time paid position, which lasted until
St. Paul moved to its new hospital in 1963. Four senior
medical students were assigned to rotate through this
department at St. Paul. There was a clinical pathologic
conference every Sunday morning, rotating between
Parkland Hospital (where Dr. Harrison conducted), Baylor
Hospital (where Dr. Winans conducted), and St. Paul
Hospital (where Dr. Merrick presided). These
well-attended conferences lasted from 1946 until 1950,
when Dr. Harrison departed Dallas.
The Dallas County Medical Society formed an emergency
medical service committee in 1955 to prepare for an
atomic attack on Dallas. Ben was chosen to head this
committee, which began his 15-year involvement with
nuclear war disaster planning. The committee had
physician representatives from the 4 major Dallas
hospitals, plus the chief of the Dallas City-County Civil
Defense and Disaster Commission. Foreseeing nuclear blast
destruction of the telephone network, the committee
formed a radio network connecting the 4 hospitals,
appointing 1 staff member of each hospital as chief of
disaster planning. Not long afterwards, Ben was made
chairman of the committee on disaster medical care of the
Texas Medical Association. Subsequently, he was given
responsibility for statewide nuclear casualty care
planning. The plan evolved included the strategic
placement of the federally supplied 200-bed civil defense
emergency hospitals, 107 being placed around the state.
These were portable, 200-cot tent hospitals with an x-ray
unit, laboratory equipment, medications, and other items.
Ben always had a twinkle in his eye and was very
energetic. He would often study in the Dallas Public
Library in between our visits and bring something to talk
about to the next meeting. He was totally unselfish,
always searching for a way to be of help but never
wanting any of the credit. He never had an unkind word
about anyone else. He was a precious man who made me want
to be better one.
E. R. Hayes, MD
Ben and I were classmates in the 1938 class of Baylor
College of Medicine when it was here in Dallas. He was
always at or near the top of his class. At that time he
was still using his Czech nameMikulencak. We had
one lecture room and were seated alphabetically in it. As
the roll was being calledMarchman, Medford,
pausefrom the back part of the room came Ben's
voice, Mikulencak, Sir.
As I think back, it seems that there are 4 words that
best characterize my friend: unassuming, organized,
excellent, dependable. He never seemed to depart from
these in his personal life or in his professional life.
There is another gap in that roll call now. It leaves
a real vacancy for me.
William C. Roberts, MD
Born Benjamin August Mikulencak in Granger, Texas, Dr.
Ben Merrick was the youngest of 10 children, all of whom
spoke Czech before learning English. Dr. Merrick was
valedictorian of the Granger High School class of 1931.
He attended Baylor Belton College and The University of
Texas at Austin before entering Baylor University College
of Medicine in Dallas, from which he graduated in 1938.
During World War II Dr. Merrick was one of a group of
Baylor physicians assigned to the 56th Evacuation
Hospital, which served in North Africa and in Italy. In
1946 he returned to Dallas, where he practiced medicine
for the next 39 years. At one time he was president of
the staff at Baylor University Medical Center and also
president of the Dallas Internist Club.
Ben was a loved physician. He was a very positive
person, and his wife, Letha, told me that he never said a
bad word about anyone during their long marriage. Just a
few days before he died, he said to Letha, It's
been so good I would like to do it all over again.
He was talking about his wonderful life.
At his funeral on October 31, 1999, his stepson, Ted Seel, from
Victoria, Texas, delivered the eulogy, and it is
reproduced here with his permission.
Marvin J. Stone, MD
Ben Merrick was a wonderful physician who was
dedicated to his patients and profession. I knew Ben in
his later years. Even after retiring from active
practice, he regularly attended internal medicine grand
rounds. After I gave a talk on William Osler about 10
years ago, Ben sent me his copy of Osler's The
Evolution of Modern Medicine, which I treasure. When
I thanked him, he said simply, I thought you would
enjoy having it.
On a number of occasions we talked about various
aspects of medical history, including the origins of
internal medicine. I referred him to The Yellow
Emperor's Classic of Internal Medicine by Veith and The
Inner History of Internal Medicine by Beeson and
Maulitz. He used them to prepare an article he was
writing for the forthcoming Baylor centennial.
Ben recounted his World War II experiences with the
56th Evacuation Hospital (Baylor Unit) in a book and in
an excellent article published in these Proceedings
in 1992. I reread his article recently and felt as if I
were watching Saving Private Ryan. At Anzio, the
hospital admitted >1100 battle casualties in the first
36 hours! In addition to being a superb doctor, respected
teacher, and outstanding medical leader, Ben was a war
hero. But you never would have known about all these
accomplishments from Ben. His gracious, kind, and gentle
demeanor was all you saw. During the past year, Ben gave
John Fordtran a copy of Matthew Baillie's Morbid
Anatomy. This first American edition was published in
1795as Ben said, when Washington was still
president. This rare book will be on display in the
Stone Library at the Baylor Institute for Immunology
Research in memory of Dr. Ben Merrick.
- Merrick BA. The History of the
56th Evacuation Hospital. Buffalo, NY:
Holling Press, 1946 (available in the Baylor
Health Sciences Library, BUMC).
- Merrick BA. The 56th evacuation
hospital (Baylor Unit) overseas in World War II. BUMC
Proceedings 1992;5(4):27-42.