Hi sto r y of medi c in e The Heitzmannfamily - pioneers in the medica! community The Heitzmannfamily- pioneers in the medica/ community I. Hackstock SUMMARY Throughout the 19th century there is evidence of activities of the Heitzn,,ann family. Martin (1804-1889) became an army doctor and veterinarian and lived in Vinkovci, la ter on in Budapest asa Senior Veterinarian of all Hungary. His eldest son Carl (1836-1 896) focused on dermatology and pathology in Vienna. In cooperation with Anton Elfinger he was responsible for highly qualified scientific illustrations of the Vienna Medical School. In 187 4 he emigrated to New York and was a founding member of the American Dermatological Association. His brother Julius (1847-1922) lived in Vienna, illustrated his own books, mostly on gynecology, and was responsible tor the ongoing publication of Carl's books. Today the only descendants of the family live in the United States. Martin Heitzmann In Subotica (Szabadka) a son was bom to the wine merchant Joseph Heitzmann and his wife Thecla in October 1804. The boy was baptized with the name of Martinus given to him. (1,2,3) After attending the secondary school in his home- town, Martin decided to pursue a military career. In 1823 he entered the Medica! Service but w as granted a leave to serve his tirne of three years as a student at the Military Medica! Joseph's Academy in Vienna. In 1829 he graduated, receiving a degree of Master of Surgery, Obstetrics and Ophthalmology. Subsequently he was trained for two years at Vienna's Institute of Veterinary Medicine, completing his studies as a certified vete- rinarian in 1835. By November ofthe same year he was Acta Dermatoven APA Vol 9, 2000, No 1 posted with the Brooder Border Infantry Regiment No. 7, obtaining the title of Senior Army Doctor and Vete- rinarian. He and his wife Franziska Apollonia nee Menze! settled in Vinkovci, which today is part of Cro- atia. Until 1843 the Heitzmanns had two boys and one girl. Because of his reliability, his expert knowledge and his discipline, Martin Heitzmann was well liked in his Regiment. He was in good command of all the languages that prevailed in tl1is region ancl mainly clevotecl himself to veterinary medicine, focusing on epiclemic control. In 1844 Martin Heitzmann appliecl for the vacant position of a Senior Veterinarian for all Hunga1y ancl was acceptecl. 35 The Heitzmann.family - pioneers in the medica! community The family, the couple and their two children Carl and Franziska, moved to Buda pest where sonJulius was bom in 1847. From 1853 to 1856 Martin Heitzmann was Deputy Head and Professor at the Institute of Veterina1y Me- dicine in Pest, taking over from Prof.Vilmos Zlamal. In the fifties two more children were bom to the couple, Gustav in 1855 and Adolf in 1857. Until 1862 Martin Heitzmann was a member of the official Board of Examiners at the Institute, sometimes acting 2.lso as its chairman. In the same year there were considerations to altogether abandon the function of a Senior Veterinarian for ali Hunga1y; however, Martin Heitzmann's expertise could not be dispensed with and it was thus decided to keep him in office until veterinary district commissioners could be installed. The sons Carl andJulius moved to Vienna in 1857 and 1865 respectively in order to take up their medica! studies. Franziska, Gustav and Adolf remained in Buda pest with their parents. The two younger sons died oftuberculosis in 1873 and 1882. Franziska Heitzmann survived this tragedy by a mere three years and died in 1885 ofheart failure. Aft:er the passing ofhis wife, Martin Heitzmann bas tak en care of by his unmarried daughter Franziska. I-Ie died on April 2, 1889 of old age infirmity. (4) Carl Heitzmann I-Ie was the oldest son of Martin and Franziska Heitzmann, having been bom in Vinkovci, on October 2, 1836. In 1844 he moved to Budapest with his family where he attended the Piaristengymnasium, where he graduated in 1854, embarking on a medica! career that commenced with a 6-year study at the University of Pest. In the winter semester 1857 he went to Vienna, having been awarded a Maria Theresia grant of 80 Guilders per year. For the subsequent two years he attended lect:ures by such eminent representatives of the Vienna Medica! School as Joseph Skoda, Johann Dumreicher, Johann Dlauhy, Joseph Hyrtl, Ferdinand von Arlt, Carl von Rokitansky, Johann Oppolzer and Ernst Wilhelm von Bri.icke (7). I-Ie successfully passed his fina! examinations and received the title of Medicinae Doctor (MD) in December 1859. Without granting himself a respite, he started to prepare for the specialist degree in surge1y, which he was awarded in April 1861 (5,6). Heitzmann settled down in the 8th District ofVienna in close proximity to the Allgemeines Krankenhaus (General I-Iospital). I-Ie made the acquaintance ofAnna Margaretha Wolfram from Drahthammer in Germany, daughter of the master dyer Johann and his wife Theresia. Apparently living in Vienna, she was an embroideress and also did other kinds of needlework. In August 1861 Anna Margaretha Wolfram gave birth 36 History ofmedi cine to a girl who was given the name ofHildegarde Caroline. The child bom out of wedlock was legitimized by the marriage of Anna Margaretha to Carl Heitzmann in No- vember of that same year. In 1864 Ludwig Joseph was bom and in 1867 Wilhelm Martin who unfortunately died of scarlet fever at the age of five. Daughter Carolina Margaretha Theresia, the last of the Heitzmann children, was bom in 1868. Carl I-Ieitzmann's further education and training were sponsored by such celebrities as Franz Schuh, Ferdinand von I-Iebra, Salomon Stricker and Carl von Rokitansky. From Franz Schuh he received the last tou- ches in surgery, Ferdinand von I-Iebra was his teacher in dermatology, he worked in Salomon Stricker's Insti- tute for Experimental Pathology and he was Carl von Rokitansky's disciple in pathological anatomy. In 1873 he received his venia legendi in this discipline. I-Ie was now an Associate Professor and this step in his career made him a likely successor to Rokitansky. Scientific research soon became a matter of conside- rable significance to him. In his early publications he primarily focused on celi research, plasma and dermato- logical problems (8) Only three years after graduating, he published a Compendium C>j'Surgical Pathology and Therapy, using the pen name of Wilhelm Carl Fischer. It was an encyclopedia designed to grant students a better access to this complex topic. The compendium was illustrated w ith 100 wooden engravings for which Heitzmann himselfmade the designs. By 1871 three editions ofthis book had been published, the last one with a supple- ment on surgical instruments, dressing methods and approaches to surge1y. I-Iowever, his most important opus was the Descrip- tive and Topographic Human Anatomy, an atlas com- prising two volumes with 600 illustrations. It was first published in 1870; nine more editions followed, among them a posthumous one edited by Emil Zuckerkandl between 1902 and 1905. It was translated into severa! languages and remained the standard textbook of anatomy in the German-speaking area until well into the 20tl1 century. Carl Heitzmann was highly talented in drawing, but there is no evidence either in Budapest or in Vienna that he ever attended a School of Fine Arts. Nevertheless, knowledge of his talent spread quickly in Vienna. I-Ie cooperated with Dr. Anton Elfinger, a senior colleague of his, in drawing up an atlas on dermatological diseases, most certainly representing the climax of scientific illustrations in the Vienna Medica! School of the 19th century. Carl called himself the painthrush C>/' the scholars; for 16 years he designed illustrations comprising ali disciplines (9,10). Ferdinand von I-Iebra's Atlas C>j' Skin Diseases was published in 10 volumes during the years 1856-1876: The sole purpose of this work was to present dermato- Acta Dermatoven APA Vol 9, 2000, No 1 History of medicine logical pathology for educational purposes. Most pro- bably Elfinger started his work on the original water- colors as early as 1843. In 1859 he was joined by Carl Heitzmann who was a reliable assistant, continuing where Elfinger left off after his death in 1864. Heitzmann supplemented and finished the tables started by his predecessor ancl put them through the process of lithography. Until he left Vienna in 1874, Carl mainly focused on the reprocluction of microscopic observations. In the same year it became evident that he could not bank on becoming Rokitansky's successor and like many others, sharing the same fate of having been deniecl a profe- ssional career in their native country, he decidecl to emigrate to the United States of America. In October 1874 Heitzmann and his family left Ham- burg with destination New York. He settlecl down in this city, opening a pathology lab and a dermatological practice. He was a founding member of the American Dermatological Association (ADA) and within a brief period achieved a high professional standing. Never- theless, most American colleagues hacl a rather doubting approach to Heitzmann because he always gave priority to European scientific results ancl was somewhat skeptical with regard to achievements of American scientists . In 1884 the family suffered a severe blow - the youngest daughter Carolina callecl Carrie diec.l of tuberculosis at the age of only 16. In 1895 Carl Heitzmann c.lelivered a lecture at the College of Physicians in Vienna, giving an account of 20 years scientific experience in the Unitec.l States . He was proud to repo1t that 1.000 student~ had been t.rained at his Laborat01y for Microscopy and that 50 scientific papers hac.l been published emanating from this institution (11,12). At the beginning of 1896 his wife ancl daughter Hilc.legarc.le accompanied Carl on a trip to Germany where he was treatecl for his cardiac condition. From there they traveled to Rome where he was supposed to recover. However, on December 6, 1896 he sufferecl a heart attack to which he succumbecl, agecl only 60 years. The attempt to track c.lown the Heitzmann family in the United States was severely obstmcted by bureau- cratic hurdles but finally proc.lucecl results: Carl's oldest daughter Hildegarde Bernis nee I-Ieitz- mann had only one daughter of the same name who died unmarried. However, Carl's son Ludwig, who callecl himself Louis in the United States , continu ed the genealogical line. He too became a physician and university professor, mainly publishing in the fielc.ls of urology ancl clermatology. He also translated his father' s work into English. He was marriecl to a German; the couple hac.l four children. Ali of them except Erna Keitel nee Heitzmann died unmarriec.l. Erna had two Acta Dermatoven APA Vol 9, 2000, No 1 The Heitzmann.family - pioneers in the medica/ community daughters , Vera anc.l Eugenia. Eugenia is still alive ancl lives in North Carolina. She and her two chilc.lren are the only descenclants of Carl Heitzmann in the United States. Julius Heitzmann Julius was bom in Budapest on December 22, 1847, the fourth chilcl of Martin and Franziska Heitzmann. Like his brother Carl , he too attenclecl the Piaristengym- nasium in Pest. When he was 18, he joined his brother in Vienna where he startecl his medica! stuclies in the w inter semester 1865/66. I-Ie was an excellent student, graduating in 1871 with a MD. In 1871, he obtained his specialist's qualification in surge1y, continuing to work as an intern in the Wiedner Pediatric Hospital. He then changecl to the Department of Gynecology at the Allgemeines Krankenhaus under Professor Ludwig Brandl, focusing on special problems in gynecology. Severa! of his own publications are clocumented. Julius too was a great talent in drawing. I-Ie worked together with his brother Carl, designing illustrations for the Surgery Compendium. At the same tirne he publishecl his own Gynecology Compendium with 126 wooden engravings according to his own designs. After his brother left Vienna, he devoted himself to the new eclitions of Carl 's Compendia. It seems as though.Julius had always been in his brother's shaclow; although harcl working and highly appreciated, he was denied both a venia legendi ancl a professorship. Discouraged by these developments, he withdrew into his office asa General Practitioner in Vienna's 9th District. In 1873 Julius was wed to Therese Wowczicka from Moravia. They had four chilclren, the only son Karl bom in 1873 and the daughters Friederika (1875) , Karoline (1877) and Emma (1879). The family moved to a place more appropriate to their status in Vienna's Waehringer Strafie and it seems that they were rather well off. Karl startecl to study law at the University ofVienna in 1874. However, after one semester he clecidedinfavor of medicine ancl receivecl his MD in 1901. He moved to St.Georgen/ Langsee in the Province of Carinthia where he was appointed District Physician. In 1903 he married Anna Altzinger from Upper Austria but only one year later he cliecl of tuberculosis. After Martin Heitzmann's death in 1889 Julius' sister Franziska also went to Vienna. She suffered from dropsy and needecl her brother's medica! care. From the estate procedure after her death in 1918 it may be concluded thatJulius ' claughter Karoline was no longer alive at that tirne. It was said that she hacl inheritecl her father's gin for drawing ancl was a painter in her own right. Therese Heitzmann does not seem to have overcome the early death of two of her chilclren. She left her 37 The Heitzmannfamily - pioneers in the medica/ community husband in 1910 and lived with her daughters Frida and Emma in suburban Vienna. Julius remained alone. In Janua1y 1922 he moved to the Versorgungsheim Lainz (a municipal home for the aged and disabled) where he died of an ai1way infection onJanuary 26, 1922, aged 75 years. the renow ned Vienna School of Music from where they graduated. They owned a piano, w hich had formerly belonged to their grandparents in Budapest. Therese Heitzmann diecl in 1935 at 85 of olcl age infirmity, her daughter Emma in 1937 asa result of an untreated open fracture of the hip joint. During the Second World War the region around Franzen became a military zone ancl ali the people from this area were evacuated. The surviving claughter Frida moved with her nurse to the Kamptal, a scenic valley situated nearby where she was most likely stil! alive at the end of the war but died of a stroke before the arrival of the Reci Army in 1945, agecl 70. With her death the genealogical line after Julius Heitzmann had come to an ene!. The three Heitzmann ladies left Vienna in 1926 and settled in the village ofFranzen in Lower Austria. Accord- ing to a report of a contempora1y still alive, the ladies were very elegant, their language sophisticated and in their house they had luxurious furniture. Both Frida and Emma spake severa! languages, the former a teacher and the latter a nurse. Emma was posted in Slovenia at the end of World War I. Both daughters had attended "CI' "i? l/ v o v ~T C ·,;, R .i. l. .L~ .l. 1.A .J. \ . l . .< .L ~ ,.__; .f. . .t l. .• AUTHOR'S ADDRESS Acta Dermatoven APA Vol 9, 2000, No 1 l. Frama lecture in Budapest, Hungarian Association for the History of Medicine, on April 27, 1995. 2. Hackstock I. Martin Heitzmann (1804-1889) Ein Militar- und Tierarzt im alten bsterreich. Wiener Klinische Wochenschrift (1997) 109/20:816-819. 3. Research in the Archives of Vienna/Austria, Budapest!Hungary, Regensburg/Germany, Salt Lake City andNewYork, bolh USA. 4. Information from Dr.GabriellaJantsits and Prof.Dr.Denes Karasszon, Budapest, Hungary. 5. Glesinger L. Vinkovčanin Karlo Heitzmann, zaboravljeni liječnik i umjetnik. Saopcenja. Zagreb 1974;17: 193-197. 6. Hackstock I. Carl Heitzmann (1836-1896): physician and illustrator. International Journal of Dermatology 1998; 37:235-240. 7. Lesky E. Die Wiener Medizinische Schule im 19. Jahrhundert. Graz-Kiiln: Biihlau, 1965. 8. Holubar K, Schmidt C, Wolff K. Challenge Dermatology, Vienna: Austrian Academy of Sciences, 1993. 9. Hackstock I. Die wissenschaftlichen Illustrationen der Wien er Medizinischen Schule (The Scientific Illustrations of Vienna Medical School), Vienna, 1988, thesis. 10. Holubar K, Schmidt C. Art in Dermatology versus Dermatology in Art. Anton Elfinger (1821-1864) and Carl Heitzmann (1836-1896) Hebra's forgotten Painter-Physicians. International Journal of Dermatology 1994;5:385-387. 11. Heitzmann C. Twenty years of scientific activities in America. Wien er Klinische Wochenschrift 1895; 31:561-564. 12. Heitzmann L. Recollections of my father. Uro! Cutan Rev 1938; 42:127-128. Ingrid Hackstock PhD, clo Institutefor the History oj Medicine, Waehringer Strasse 25,A-1090 Vz.enna,Austria 39