Professor Sir Abraham Goldberg, 1923-2007, was one of the most
outstanding physician scientists of his generation.
Known to
all as Abe, Abraham Goldberg was born to immigrant parents from
Lithuania and the Ukraine. He excelled throughout his life as a
doctor, scientist, teacher, mentor, supporter of good causes and as
a dedicated family man.
It was as a young boy at primary school
in Edinburgh that he fell seriously ill with rheumatic fever, a
disease whose late effects 70 years later were to lead to the
stroke which so disabled him in the final year of his life.
A
distinguished pupil at George Heriot's, Goldberg won the Crichton
scholarship to Edinburgh University medical school, where he was
taught and influenced by a number of luminaries, including Sir
Sydney Smith, the forensic science pioneer and Jamieson, the
renowned anatomist. He graduated in 1946 and a few months later, in
1946, was conscripted into the Royal Army Medical Corps and served
two years in Egypt as Senior Medical Officer, rising to the rank of
Major.
Despite his outstanding academic record he had
difficulty securing his first medical training job locally. After
six months at Withington Hospital Manchester and a period as house
physician in Halifax, Yorkshire, he completed his pre-registration
training back in Edinburgh at the Royal Hospital for Sick Children,
a post which he later described as a “baptism of fire” and the
hardest job he had ever had to do. Speaking in 1986, he told how he
was left to cope alone-newly qualified and inexperienced-since the
hospital’s registrars were on Army duty.
Wishing to pursue an
academic career, he was awarded a Nuffield research fellowship in
1952 in the department of chemical pathology at University College
Hospital Medical School in London, working with the renowned
biochemist Professor Claude Rimington FRS. It was there- often
working in the laboratory until the early hours of the morning-
that he acquired the laboratory research skills and scientific
rigour that underpinned his future research into abnormalities of
the blood pigment, haem, which cause the various debilitating
manifestations of porphyria.
This post led to an Eli Lilly
fellowship at the University of Utah in Salt Lake City to work in
Salt Lake City with Professor Max Wintrobe, one of the outstanding
haematologists of that era: Abe there performed the research that
would help establish him as an authority in his field. He enjoyed
his time in America but his egalitarian spirit was not at ease with
the inequities of its healthcare system and, in 1957, he was
recruited by Professor Edward Wayne, later Sir Edward, as lecturer
in the department of medicine of Glasgow University at the Western
Infirmary. A year earlier, Edinburgh University had awarded Abe the
gold medal for his MD thesis on porphyria.
In 1956 he also met
Clarice, a woman of great charm who was to be his partner and
supporter for the rest of his life. After a two-week romance they
got engaged and were married nine months later on September 3,
1957. Goldberg's academic career prospered in Glasgow. Publishing
more than 250 papers he became not only a world authority on
porphyria, but also on lead poisoning and was influential in
achieving a safer water supply for Glasgow. He also conducted
important studies into the mechanisms of the noxious effects of
alcohol. This sustained academic output was rewarded with a senior
lectureship, readership, then, in 1967, a personal chair in the
department of medicine at Glasgow University, when he also became
the director of the Medical Research Council's group on iron and
porphyrin metabolism at the Western Infirmary.
His interests in
clinical pharmacology and toxicology strengthened with the growing
awareness, to which he contributed, that many prescription and even
herbal medicines could cause porphyria. In 1970 he succeeded
Stanley Alstead as Regius Professor of Materia Medica at Glasgow
University, based at Stobhill Hospital, which gave him the
opportunity to build up his department with young academics. In
1971 he was made a Fellow of the Royal Society of Edinburgh. Among
his young academics at Stobhill was Brian Whiting, later to become
Dean of the Faculty of Medicine, with whom he worked to produce the
so-called drug interaction disc, which was distributed to all
practicing doctors in the UK. It was also during his tenure of the
Chair of Materia Medica that his leadership and expertise as a
clinician scientist was recognised by his chairmanship of the
Biomedical Research Committee of the Chief Scientists Office,
Scottish Home and health Department, and his membership and in 1973
his chairmanship of the clinical research board of the Medical
Research Council.
Abe’s final appointment was as Regius
Professor of the Practice of Medicine in Glasgow University at the
Western Infirmary in 1978, where a major focus of his activity was
to be the modernisation of medical undergraduate teaching by the
production of entirely new audio- visual teaching materials. It was
also during this busy period that he was invited to be chairman of
the Committee on Safety of Medicines (CSM) in London. Goldberg was
acutely aware of the importance of this committee, which had only
recently been formed in the wake of the thalidomide drug toxicity
disaster. He became renowned for his encyclopaedic knowledge of the
voluminous papers which would arrive in their familiar ‘green
bags’. Unfortunately, he fell victim to the type of television
journalism that favours drama over facts in a BBC Panorama
programme about Opren, a drug for arthritis that caused liver
disease. This showed the CSM and, in his position as Chairman, Abe
himself, in an unfavourable light which was as unfair as it was
deeply depressing for him. Nevertheless, he rallied through this
difficult period, indeed, with cross-party support for his
Chairmanship of the CSM in the House of Commons, and was rightly
honoured with a knighthood, conferred in 1983 for his many services
to medicine.
As well as being a highly regarded clinician and
outstanding researcher, Abe had a passion for teaching. A
considerable amount of time was spent with the medical students and
junior medical staff imparting his knowledge and enthusiasm for
medicine. He ensured that teaching was given a high priority in his
Unit and throughout the Glasgow hospitals. In 1962, during his
Editorship of the Scottish Medical Journal, he initiated a special
series on Scottish Medical Education. Abe will be forever
remembered for his “dermatome dance”, a routine which he had
invented to help the students remember the nerve supply of the skin
in different regions of their body, which involved them placing
their hands on different parts of their body while reciting the
corresponding nerve supply. It is often stated that doctors are
more interested in the diseases from which their patients suffer
than in the patients themselves, but this was not true in Abe’s
case. He took a personal interest in his patients who suffered from
acute porphyria, sending every one of them a Christmas card right
up until the year of his death, eighteen years after
retiring.
Always teaching that research should be fun, Abe
inspired a generation of medical researchers. Like every successful
professional his work was his hobby. Sometimes his research fellows
found his lateral thinking difficult to follow. However, that was
part of his genius. As a truly original thinker he had the gift of
being able to look at what everyone else was looking at and see
what nobody else could see. He had the ability to ask penetrating
questions which could open up an entirely new area of research. Abe
had a remarkable memory, something which junior staff discovered to
their peril when he would ask for the results of a test he had
requested several weeks earlier and which had not been adequately
prioritised. He retained his keen memory all his years.
Chronic
back pain plagued Abe through most of his life. It inhibited his
ability to travel and forced him to relinquish his election to
President of the Royal College of Physicians and Surgeons in
Glasgow. His chronic pain gave him a special ability to relate to
the suffering of many of the patients under his care. Despite his
back pain, he accepted the invitation to become Founder President
of the Faculty of Pharmaceutical Medicine of the Royal Colleges of
Physicians of the United Kingdom, a role which he presided over
from 1989 to 1991.
Abe lived in interesting times. His medical
celebrity brought him many prizes, eponymous lectureships and
several overseas visits. Memoirs of those times spent in the Middle
East during Israel's birth pangs (when he met David Ben-Gurion, the
Israeli prime minister), and of being in South Africa during
apartheid, tell much about Goldberg's abhorrence of discrimination
and his passion for fairness in the world.
Success such as his has
to be won in an often hostile environment in which certain personal
characteristics must be displayed appropriately. Ambition, energy,
passion, tenacity and single-mindedness made him either famous or
notorious depending on where one stood with him.
Retirement was an
opportunity fully to indulge his passion for history and his gift
for creative writing, which he had revealed during his career by
the publication of many-non medical articles in newspapers and
magazines. He also gave generously of his time in charitable works,
including the promotion of a better understanding between those of
his faith and others.
Abe was a staunch family man. Despite his
huge workload, he remained close to and engaged with his family. He
recognised and often stated that medicine was a very jealous
mistress consuming much of his time and energy. However, he always
asserted that his wife and family were his greatest blessing. He
referred to them as his true crown. He recounted how his family
expanded his life by increasing his experience of joy and pain. He
regularly took his two boys David and Richard to see Celtic play in
Glasgow. His practical genius even enabled him to combine quality
time with his family with his professional duties. He regularly
brought his two young boys on his Saturday morning ward round which
started at mid-day.
Abe was remarkable for the breadth as well
as the extent of his achievements. In this respect he was the last
of a breed of professors of medicine. He excelled as a clinician,
researcher, teacher and administrator. His had influence which
extended from his own medical unit throughout the whole hospital,
his city, his country and internationally. His influence lives on
through the many changes he introduced and through the many people
who have had the privilege to work alongside him. He was honoured
in his home country and city as well as abroad. In 1989, the year
of his retiral, he received the City of Glasgow Lord Provost’s
Award for public service. A year earlier he had given the
Fitzpatrick Lecture of the Royal College of Physicians of London on
the history of European medicine. It was in such public lectures
that he was able to convey his great love of history. After
delivering the Goodall Memorial Lecture of the Royal College of
Physicians and Surgeons in Glasgow on James VI and I, he was
appointed Honorary Senior (later Professorial) Research Fellow in
the Department of Modern History at the University of Glasgow. He
continued in his retirement to write papers and deliver public
lectures on a range of topics, including Dreyfus, Theodore Herzl,
Weizmann, Wilberforce and Glasgow Medicine in 1900.<ref>The
Times, 0ctober 17, 2007; The Herald, 0ctober 9, 2007</ref>