Journal of International Society for the History
Journal of International Society for the History
Journal of International Society for the History
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Arın NAMAL, Arnold REISMAN THEY INTRODUCED MODERN RADIOLOGY IN TURKEY:<br />
REFUGEES FROM NAZISM 1933-1945<br />
The students in <strong>the</strong> 6th and 8th terms, as well, had to<br />
take a one hour lesson every week in order to learn what<br />
<strong>the</strong> staff physician (not a radiology specialist) should<br />
know about radiology. 47<br />
This Institute trained specialists to pass an exam<br />
following two years <strong>of</strong> residency and <strong>of</strong>fered post graduate<br />
education in radiology. Towards this end, yearly course<br />
programs were planned including evening conferences at<br />
<strong>the</strong> Radiology Association.<br />
While technicians were assigned <strong>for</strong> <strong>the</strong> maintenance<br />
and repair <strong>of</strong> <strong>the</strong> X-ray equipment and o<strong>the</strong>r related<br />
equipment, in <strong>the</strong> Institute importance was given to <strong>the</strong><br />
training <strong>of</strong> X-ray nurses. 48<br />
Dessauer and collegues decided that Institute operations<br />
had to be carried out in cooperation with <strong>the</strong> clinics. He<br />
planned treatments in cooperation with <strong>the</strong> clinic physicians<br />
in accordance with that decision49 and described his activities<br />
at <strong>the</strong> Institute as follows: “As <strong>the</strong> Institute was beginning to<br />
be famous, patients from all over <strong>the</strong> world began to come.<br />
We had established an institute which had no peer in Europe.<br />
Sometimes <strong>the</strong>re were 80 people waiting in <strong>the</strong> queue <strong>for</strong><br />
treatment. All <strong>of</strong> <strong>the</strong>m had cancer.” 50<br />
Fast <strong>for</strong>warding to 1943, in a letter to <strong>the</strong> Dean on<br />
April 22, Sgalitzer stated that numerous patients had been<br />
directed from clinics to his Institute; but <strong>the</strong> instruments<br />
and personnel were not suffi cient to treat all <strong>of</strong> <strong>the</strong>m.<br />
He emphasized his concerns about not being able to<br />
protect <strong>the</strong> health <strong>of</strong> Institute personnel. His letter ended<br />
as follows: “It does not seem possible <strong>for</strong> us to import<br />
<strong>the</strong> devices required under <strong>the</strong> present world conditions;<br />
still, <strong>the</strong> necessary steps should be taken. I think it will<br />
be easier to import <strong>the</strong> equipment from USA. I have 2<br />
recommendations to reduce our workload:<br />
1. Let us not accept severe cases who cannot benefi t from<br />
radio<strong>the</strong>rapy. O<strong>the</strong>rwise, we cannot accept cases who<br />
will benefi t from radio<strong>the</strong>rapy.<br />
2. We have to be selective also in our radiodiagnostic department.<br />
Please care <strong>for</strong> our device needs indicated in<br />
<strong>the</strong> attached list.<br />
The list <strong>of</strong> needs:<br />
1. Therapy division<br />
a) 2 deep <strong>the</strong>rapy device 250 kW<br />
b) 1 Deep <strong>the</strong>rapy device to apply <strong>the</strong> rotation radiation<br />
method which has considerable run in<br />
Europe and America.<br />
c) Close radiation device <strong>for</strong> column cancers<br />
d) 300 mg radium<br />
e) Dosimeters <strong>for</strong> <strong>the</strong> mentioned instruments<br />
2. For diagnostics division<br />
a) Spare parts <strong>of</strong> <strong>the</strong> x-ray trans<strong>for</strong>mer and <strong>the</strong><br />
planigraph<br />
b) A second device <strong>for</strong> radioscopy and one more<br />
instrument <strong>for</strong> radiography”<br />
Public health radiology<br />
Turkey’s government recognized <strong>the</strong> need <strong>for</strong> lung<br />
screening <strong>of</strong> patients located outside <strong>the</strong> major metropolitan<br />
areas and in large numbers. Walter Reininger developed<br />
radioscopy device which was easily transportable and was<br />
capable <strong>of</strong> executing 60 examinations per hour. German<br />
fi rms had developed “portable” x-ray equipment but <strong>the</strong>ir<br />
weight amounted 500 kg. Buses containing such capability<br />
were indeed locally manufactured. However, <strong>the</strong>se buses<br />
were both very expensive and required smooth roads. The<br />
Reininger device weigherd only 30 kg. With all ancillary<br />
equipment <strong>the</strong> total weight reached maximum 176 kg.<br />
Hence, taking <strong>the</strong> x-ray capability to Turkey’s outlying<br />
areas became became both af<strong>for</strong>dable and feasible costing<br />
one <strong>for</strong>th <strong>of</strong> similar devices in Europe. Reininger easily<br />
took <strong>the</strong> device to Zonguldak, a city on <strong>the</strong> Black Sea coast,<br />
mounted it in an hour and made it ready <strong>for</strong> use. While <strong>the</strong><br />
o<strong>the</strong>r equipment manufactured in Germany <strong>for</strong> <strong>the</strong> same<br />
purpose required 10 kW, <strong>the</strong> Reininger device needed only<br />
400 Watts. The device required dividing <strong>the</strong> condenser into<br />
very small units, shunted charge, serial connected discharge,<br />
using <strong>the</strong> x-ray tube as a charge valve and starting <strong>the</strong> current<br />
in <strong>the</strong> tube by heating <strong>the</strong> cathode.<br />
30 JISHIM 2007-2008, 6-7