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Dulcie Mary Pillers
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    Dulcie Mary Pillers

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    Dulcie Mary Pillers

    Black and white photograph of Dulcie Mary Pillers, seated front row, next to Ernest William Hey Groves (not shown). Taken from a group photograph of the medical staff at the hospital near the end of World War I.
    Pillers at Beaufort War Hospital in 1918
    Born (1891-08-17)17 August 1891
    St Andrew's, Bristol, England
    Died 2 December 1961(1961-12-02) (aged 70)
    Stoke Bishop, Bristol, England
    Alma mater Kensington Government School of Art, Berkeley Square, Clifton, Bristol, England
    Known for Medical illustration
    Style
    Patron(s)

    Dulcie Mary Pillers MMAA (17 August 1891 – 2 December 1961) was an English medical illustrator and a founding member of the Medical Artists' Association of Great Britain (MAA). The daughter of a Bristol solicitor, she completed her art training at Kensington Government School of Art, Berkeley Square, Clifton, Bristol, graduating in September 1911 with an Art Class Teachers' Certificate.

    At the end of World War I, she was a medical illustrator to Ernest William Hey Groves, a well-known orthopaedic surgeon, at Beaufort War Hospital, a military orthopaedic centre in Stapleton, Bristol. After the armistice, she completed numerous pen and watercolour illustrations of operations at the Ministry of Pensions Hospital, Bath, and Southmead Hospital, Westbury-on-Trym. She also produced illustrations for papers written by medical colleagues at Bristol General Hospital.

    In the 1920s, she was a member of the Bristol Venture Club, one of the first women's classification clubs. She was also a good amateur golfer and a member of the Bristol and Clifton golf club. In later life, she lived with her mother and sister, Irene Dorothy, a former inspector for the Board of Trade. She died at a nursing home in Stoke Bishop, Bristol, close to Sneyd Park. In 1989, her artwork, including ink drawings and colour illustrations of orthopaedic surgery, was exhibited at the British Orthopaedic Association conference. In 2013, her niece donated her artwork to the Royal College of Surgeons of England.

    Early life

    Dulcie Mary was born on 17 August 1891, at Glen Gariff, Chesterfield Road, St Andrew's, Bristol, the second daughter of Ernest James Pillers and Elizabeth Scott, née Webb. Elizabeth Scott was the daughter of Robert Barrett Webb, a former partner in Laverton & Co, furnishers and upholsterers, at Corn Street and Mary le Port Street in Bristol. Ernest James was a Bristol solicitor and the son of a hop merchant. They had married on 4 September 1889 at St Werburgh's Church, Bristol.

    Monochrome photograph of Ernest James Pillers, Bristol solicitor, photographed in 1887, in court dress, by Thomas Protheroe, at 36 Wine Street, Bristol
    Pillers' father, Ernest James

    Pillers' father had a troubled career as a solicitor in Bristol. In 1898, he was charged with forging shares in the Fishponds and Bedminster Brick and Tile Company and obtaining transfer deeds by false pretences, though the case was settled the following year. In 1905, his firm at St Stephen's Chambers, Baldwin Street, Bristol, was embezzled by a shorthand clerk. Subsequently, on 15 March 1905, a creditor petitioned for bankruptcy, and he was made bankrupt on 19 May 1905. He had been suffering from a long and painful illness, and for this reason, his public examination on 2 June 1905 was postponed. He died only a few days later on 4 June 1905(1905-06-04) (aged 41), at 16 Withleigh Road, Knowle, Bristol. His funeral was held at Arnos Vale Cemetery in the afternoon of the 7 June 1905.

    After her father's death, the family moved from Withleigh Road to live with Pillers' maternal grandparents, the Webbs, at 20 Belgrave Road, Tyndalls Park. In 1906, Pillers began corresponding with the "Children's Corner" section in the Bristol Times and Mirror, that was edited by Florence Beatrice Hawkins, née Bird. She entered the puzzle and painting competitions in that section, coming second in March 1907 for her "charming watercolour seascape, with softly coloured cliffs and brown rocks; also another clever painting of three kittens, and a third of a bunch of violets."

    Pillers' younger brother, Robert Kingsley, would also enter the newspaper competitions. He was educated at the Merchant Venturers' technical college, gaining a scholarship to study automotive engineering at the University of Bristol. He worked for Morgan and Wood, automobile engineers at 7 Unity Street, Bristol, before being called-up to the Northamptonshire Regiment at the start of World War I. He made the rank of lieutenant colonel and was appointed an OBE in the 1919 New Year Honours. In World War II, he served as an educational officer in the Royal Air Force Educational Service, and was given the honorary (and matching) rank of wing commander.

    Pillers' elder sister, Irene Dorothy, was an inspector for the Board of Trade. She was educated at Fairfield College for Girls, Apsley Road, Clifton, Bristol, and Skerry's College, 88, Park Street, Bristol, where in July 1920, she passed civil service entrance examinations, coming twelfth out of six hundred candidates. In the 1930s, she was a member of the South-Western and Wales regional branch of the Council of Women Civil Servants. In 1951, she joined the Bristol and Gloucestershire Archaeological Society, and later, moved to The Plain, Nympsfield, near Stroud, Gloucestershire. She was elected to the Royal Archaeological Institute in 1961.

    Education

    Photograph of 31 Berkeley Square. The building is now used as an arts and media office space and a car park for the Berkeley Square Hotel.
    The former Kensington Government School of Art building at 31 Berkeley Square, Clifton, Bristol

    Pillers was educated at Kensington Government School of Art, known occasionally as "Kensington House School of Art", 31 Berkeley Square, Clifton, Bristol. The school was founded in 1890 by John Fisher, with the objective of providing a grounding in drawing, sculpture, and design, for professional artists, designers, craftsmen, and art teachers. The school offered courses in artistic anatomy, architecture, decorative design, modelling, figure composition, and painting. There was also an annual exhibition of students' work. William Stuart Vernon Stock, an anaesthetist at the 2nd Southern General Hospital in 1908, was honorary lecturer in anatomy at the school.

    Pillers took courses in:

    • 1908 (1908): Drawing an ornament from a photograph; drawing in light and shade of an ornament from a cast; memory drawing of a plant form.
    • 1909 (1909): Painting an ornament in monochrome; model drawing; still life painting.
    • 1911 (1911): Shaded drawing from a group of models; geometrical problems worked in ink.

    She graduated from the school in September 1911, aged 20, with an Art Class Teachers' Certificate. At the end of July 1914, the school closed and moved to new premises at Broad Weir, Bristol, to form the Municipal School of Industrial Art. In December 1921, John Fisher retired through ill health, and a year later, the school was closed permanently because of dwindling pupil numbers and escalating costs.

    Career

    Illustration of a patient with a cancerous growth on his chin.
    A railway porter, admitted to Southmead Hospital on 15 March 1920, with inoperable cancer of the lower jaw. The image on the left shows the patient prior to treatment with Pituitrin. Described by Robert Henry Norgate.
    Image of a fractured tibia, shown in black and white but painted in watercolours, with an aluminium template nailed to the periosteum.
    Method of inlay grafting for a gap fracture of the tibia. An aluminium template is nailed to the periosteum to guide the saw. Described by Hey Groves.
    Examples of medical illustrations by Pillers

    By 1918, Pillers was employed as a secretary and medical illustrator to Ernest William Hey Groves, a well-known orthopaedic surgeon. He was commissioned captain in the Royal Army Medical Corps in World War I, serving for a year at the surgical division of a general hospital in Alexandria, Egypt. In 1917, Sir Robert Jones, Inspector of Military Orthopaedics, recommended that he take charge of the military orthopaedic centre at Beaufort War Hospital in Stapleton, Bristol. The war was one of the most destructive conflicts in human history, leaving over 750 thousand British troops dead with 1.6 million injured, the majority with orthopaedic injuries. At least half the patients arriving at Beaufort had compound fractures caused by shrapnel and gunshot wounds. Hey Groves experimented with grafts and pins to stabilise the fractures and used medical illustrators to record the operations. At the time, photography was unable show enough detail of the interior of the body to be of use to surgeons. Conversely, photography was used extensively for medical records, slides, and book illustration.

    Hey Groves wrote several standard textbooks on surgery for students and nurses, but before 1915, they contained few illustrations. His 1915 book, Gunshot Injuries of Bones, was illustrated by Lucy Marion Joll, known as Marion Joll, the younger sister of Cecil Augustus Joll, who had proofread the book. From January 1916, Cecil Gwendolen St Leger Russell worked with Hey Groves at Beaufort and Southmead Hospital as a "surgical draughtswoman", illustrating his 1918 paper on the treatment of gunshot injuries to bone. Pillers, with Russell, illustrated Hey Groves's first post-armistice paper, "The Crucial Ligaments of the Knee‑joint", published in the January 1919 edition of the British Journal of Surgery. In December 1918, Russell married Niel Charles Trew, an American physician, born in Toronto, who had worked at Beaufort during the war. In March 1919, the Trews left Bristol for New York, and in consequence, Pillers became the sole medical illustrator to Hey Groves.

    After the war, Pillers completed numerous pen and watercolour illustrations of bone-grafting operations. In 1920, with Alexander Kirkpatrick Maxwell, she illustrated Arthur Rendle Short's book on physiology. She contributed to a number of papers on rheumatic and coronary artery diseases by Carey Coombs, including the 1926 Long Fox Memorial Lecture. In 1933, Hey Groves retired from the consulting staff of Bristol General Hospital and the University of Bristol medical school. In the same year, Percy Phillips was appointed medical superintendent of Southmead Hospital, with Pillers also working there. She continued to contribute to her colleague's medical papers, including sketches of bone cross-sections, that exhibited the typical features of renal rickets.

    The new drawings have been made by Miss D. Pillers, and I am greatly indebted to her for the trouble she has taken.

    Hey Groves, Synopsis of Surgery (Fifth edition, 1920)

    Hey Groves died on 22 October 1944, and in recognition of Pillers' "long and devoted service", he left her his casebooks and copyright in Synopsis of Surgery. In 1945, the book was updated and edited by Sir Cecil Wakeley, with Pillers contributing new illustrations, and republished as the twelfth edition. On 2 April 1949, she attended the founding meeting of the Medical Artists' Association of Great Britain at Nunnery Close, Upper Wolvercote, Oxford, the then home of Audrey Arnott and Margaret McLarty. Also present, amongst others, were Zita Blackburn and Dorothy Davison, elected honorary secretary and treasurer respectively, and David Tompsett, assistant prosector at the Royal College of Surgeons of England, who was elected chairman. At the following meeting in July 1950, it was agreed that those who had attended the first meeting would become founding members of the association.

    Personal life

    In the 1920s, Pillers joined the Bristol Venture Club, one of the first women's classification clubs, as an "anatomical artist". She was an active participant in the club's membership committee and charitable activities. However, in 1930, the club merged with the Soroptimist volunteer movement, and she allowed her membership to lapse. In the 1930s, she lived at 24 Goldney Road in Clifton, and along with Hey Groves, was a member of the Bristol and Clifton golf club. She won a number of club medals at monthly competitions, off an improving handicap of 25.

    Pillers' home at Goldney Road was damaged during the Bristol Blitz, and by July 1941, she had moved to Kimbolton House, 2 Mount Beacon in Lansdown, Bath, close to the then Lansdown Grove Hospital, and now known as Haygarth Court. In 1943, she returned to Clifton to live with her sister at Eaton Villa in Clifton Down. She never married; nine percent of all British men under the age of forty-five died during World War I. While many women remained unmarried due to the lack of available men, some women in this period remained single by choice or by financial necessity. Furthermore, careers such as medicine were opening up to women, but only if they remained unmarried.

    Death and legacy

    Inscription for Dulcie Mary Pillers reads as follows :"Pillers, Dulcie Mary 1891 – 1861"
    Pillers' entry in the book of remembrance at Canford Cemetery

    Pillers' mother died on 9 April 1960(1960-04-09) (aged 96) at Downleaze Nursing Home, 9 Downleaze, Stoke Bishop, Bristol, close to Sneyd Park. Pillers died at the same nursing home on 2 December 1961(1961-12-02) (aged 70) and her remains were later cremated at Canford Cemetery, Westbury-on-Trym. Her estate was administered by her niece, Elizabeth Mary Marrian (known as "Biddy"), née Kingsley Pillers, the only child of Pillers' brother, Robert Kingsley. Marrian was a qualified doctor, a former research fellow at the Memorial Sloan Kettering Cancer Center, and until her retirement, director of medical studies at Girton College, Cambridge.

    In 1989, Pillers' artwork, including ink drawings and colour illustrations of orthopaedic surgery, was exhibited at the British Orthopaedic Association conference. In 2013, Marrian donated around twenty-five illustrations by Pillers to the archives of the Royal College of Surgeons of England. In February 2015, Gordon Bannister, professor of orthopaedic surgery at the University of Bristol, presented a further seventy-five illustrations to the same archives. In the same year, her life and career was chronicled by Samuel Alberti, then director of museums and archives at the Royal College of Surgeons of England (which includes the Hunterian Museum). On 11 March 2015, he presented this research to the Royal College of Physicians of Edinburgh, as part of a series of seminars organised by the Edinburgh History of Medicine Group. In May 2015, he made a related presentation of her work to the Hunterian Society, at the Medical Society of London, entitled Watercolour, Woodcut and Wax: Medical Illustrations since Hunter.

    Publications

    As medical illustrator

    Table of selected medical papers and books
    Year Title Author(s) Publication Notes
    1919 The Crucial Ligaments of the Knee‑joint: Their Function, Rupture, and the Operative Treatment of the Same Ernest William Hey Groves British Journal of Surgery The majority of the cruciate ligament illustrations were drawn by Pillers. It was Hey Groves's first post-armistice paper: It is now considered to be one of the classic works of orthopaedic literature.
    1919 On the Treatment of Ununited Fractures, with Especial Reference to the Use of Bone Grafts Ernest William Hey Groves Bristol Medico Chirurgical Journal Figure 12 illustrates a method of inlay grafting for a gap fracture of the tibia. An aluminium template is nailed to the periosteum to guide the saw. Figure 14 shows a moulded splint that fixes the arm to the body before and after bone-grafting of the humerus.
    1920 The New Physiology in Surgical and General Practice Arthur Rendle Short Book
    1920 The Application of Bone-Grafting in the Treatment of Fractures Ernest William Hey Groves The Lancet
    1920 Synopsis of Surgery Ernest William Hey Groves Book
    1921 Fibroma of the Mesentery Henry Greville Kyle British Journal of Surgery
    1921 Military Orthopedic Surgery Sir Robert Jones and Ernest William Hey Groves Surgery, Its Principles and Practice See illustrations on pages 664, 670, 672, 683, 694, and 705. See page 666 for a diagram of a step-cut operation on an ununited humerus by Cecil Gwendolen Trew.
    1921 The Closure of Septic Bone Cavities Following Gunshot Wounds by Muscle-Flaps Duncan Wood British Journal of Surgery Illustrations of various methods of treating bone cavities due to discharging sinuses. The principal method is that in which the cavity is filled with a pedunculated muscle flap.
    1922 On Modern Methods of Treating Fractures Ernest William Hey Groves Book See illustrations on pages 314, 353, and 360. Includes the essay on bone grafting by Hey Groves that won the Jacksonian prize of the Royal College of Surgeons of England.
    1922 The Use of Pituitrin in Inoperable Cancer Robert Henry Norgate British Journal of Surgery Includes a watercolor painting of a railway porter with inoperable cancer of the lower jaw.
    1923 A Note on the Operation for the Radical Cure of Femoral Hernia Ernest William Hey Groves British Journal of Surgery See illustrations on pages 530 and 531 for a strangulated femoral hernia operation.
    1923 Arthroplasty Ernest William Hey Groves British Journal of Surgery See illustrations on pages 242 and 244 for arthroplasty of the elbow.
    1924 Rheumatic Heart Disease Carey Franklin Coombs Book
    1925 Surgical Operations: A Textbook for Students and Nurses Ernest William Hey Groves Book See illustrations on pages 30 and 31 for joint and limb amputations. See page 110 for an illustration of a Caldwell‑Luc operation and page 111 for an illustration of a Killian's operation to excise the anterior wall of the frontal sinus.
    1925 Fracture Dislocations of the Upper End of the Humerus Ernest William Hey Groves The Lancet
    1926 Ischaemic Necrosis of the Cardiac Wall Carey Franklin Coombs and Geoffrey Hadfield The Lancet
    1926 Observations on the Rheumatic Nodule Vincent Coates and Carey Franklin Coombs Archives of Disease in Childhood
    1926 The Long Fox Memorial Lecture: The Aetiology of Cardiac Disease Carey Franklin Coombs Bristol Medico Chirurgical Journal Read at meeting of the Bristol Medico Chirurgical Society in the University of Bristol on 9 December 1925.
    1927 Some Contributions to the Reconstructive Surgery of the Hip Ernest William Hey Groves British Journal of Surgery This paper constituted the Bradshaw Lecture delivered by Hey Groves before the Royal College of Surgeons of England on 11 November 1926.
    1927 The Pathogenesis of Respiratory Anomalies After Epidemic Encephalitis MacDonald Critchley British Medical Journal
    1928 Direct Skeletal Traction in the Treatment of Fractures Ernest William Hey Groves British Journal of Surgery See the illustration on page 156 for a bradawl operation to correct lateral displacement of fractures.
    1929 The Borderland between Surgery and Gynaecology Ernest William Hey Groves Bristol Medico Chirurgical Journal
    1930 A Case of Spina Bifida Occulta Sidney John Hermann Griffiths British Journal of Surgery
    1930 The Treatment of Infected Open Fractures Ernest William Hey Groves British Journal of Surgery See pages 300 and 302 for two coloured illustrations of an infected open fracture.
    1930 Textbook for Nurses: Anatomy, Physiology, Surgery and Medicine Ernest William Hey Groves, John Matthew Fortescue‑Brickdale, and John Alexander Nixon Book Amongst other drawings, page 283 illustrates a typical humerus extension splint, and the wrong and the right way of bandaging a fractured elbow. The medical section was revised by John Alexander Nixon, professor of medicine at the University of Bristol until his retirement in 1935.
    1931 Traumatic Rupture of the Aorta Sidney John Hermann Griffiths British Journal of Surgery
    1933 A Surgical Adventure: An Autobiographical Sketch Ernest William Hey Groves Bristol Medico Chirurgical Journal
    1934 Localized Hypertrophic Enteritis as a Cause of Intestinal Obstruction: With a report of two cases William Austen Jackman British Journal of Surgery See page 30 for an illustration of the condition of the ileum found at operation.
    1937 Some Observations on Physical Stigmata Oliver Charles Minty Davis and Percy Phillips The Clinical Journal
    1937 Renal Rickets Norman Lloyd Price and Thomas Benjamin Davie British Journal of Surgery
    1937 Renal Pelvic Epithelioma with Massive Calculi and No Infection Arthur Wilfred Adams Proceedings of the Royal Society of Medicine See the illustration on page 1077 for a section of left kidney with kidney stone disease calculi. In addition to calculi, there is a scirrhous carcinoma in the renal pelvis, that Adams infers is caused by the presence of the calculi.
    1938 A Case of Intussusception of the Normal Appendix into the Caecum George Thomson Mowat British Journal of Surgery
    1939 Vascular Anomalies of the Upper Limbs Associated with Cervical Ribs: Report of a case and review of the literature Reginald Manson Hill British Journal of Surgery See pages 106 and 107 for illustrations of the post-operative condition of the hands.
    1943 Modern Operative Surgery Ernest William Hey Groves Book See page 254 for an illustration of a reconstructive operation on an ununited fracture of the neck of a femur.
    1945 Synopsis of Surgery Ernest William Hey Groves Book
    1949 The Ocular Manifestations of Polyarteritis Nodosa Ralph Norman Herson and Robert Sampson Quarterly Journal of Medicine
    1983 Ernest William Hey Groves and his Contributions to Orthopaedic Surgery Anthony Hugh Cyril Ratliff Bristol Medico Chirurgical Journal

    Publications detail

    Adams

    Coates and Coombs

    Coombs

    Coombs and Hadfield

    Critchley

    Davis and Phillips

    • Davis, Oliver Charles Minty; Phillips, Percy (January 1937). Knight, Edward (ed.). "Some Observations on Physical Stigmata". The Clinical Journal. London: H. K. Lewis & Company. 66: 29–32. ISSN 0366-6743. OCLC 10995429.

    Griffiths

    Herson and Sampson

    Hey Groves

    Hey Groves, Fortescue‑Brickdale, and Nixon

    Hill

    Jackman

    Jones and Hey Groves

    Kyle

    Mowat

    Norgate

    Price and Davie

    Ratliff

    Short

    Wood

    See also

    Further reading

    External links


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