Setting an example for compassionate patient care:
Carl V. Moore

Reprinted from Outlook, summer 2003

[See also a tribute to Carl Moore written by Oliver Lowry]

His father was a St. Louis police officer, his mother a northside confectionery owner, and Carl V. Moore, AB 28, MD 32, took a series of menial jobs to pay for his education. Through-out his life, he held strong, basic values: hard work, frugality, honesty, kindness. He always made time to talk to students, and “he never forgot that a patient was a human being and not just an interesting case,” said molecular biologist Oliver H. Lowry after Moore’s death in 1972, days before his 64th birthday.

Moore joined the medical school faculty in 1938 and stayed for his entire career, serving as dean, 1953 to 1955; vice chancellor for medical affairs, 1964 to 1965; and head of his beloved Department of Medicine, 1955 to 1972. A pioneer in the young field of hematology, conducting classic studies of iron metabolism, he was elected to the National Academy of Sciences in 1970.

Yet teaching was his greatest pleasure. In class, he stressed the importance of observation, recalls Virgil Loeb, MD 44. “I’ll never forget it. He would insist on his students looking at the patient’s blood and urine in the laboratory microscope. It wasn’t enough to get a report that told you what the problem was; you had to see for yourself.”

Carl Moore—teaching was his greatest pleasure—preferred the personal approach.

Carl Moore

His Saturday noon clinics were models of clarity and compassion. He would emerge from the wings, pushing the wheelchair of the patient whose case he planned to discuss that day. Unlike other faculty, who relied on a house officer to describe the history and physical findings, Moore did it all himself—never ignoring the patient in the process. “He would stand behind the chair, holding the handles, and present the case, flawlessly,” says M. Kenton King, MD, dean of the medical school from 1964 to 1989.

No setting was off limits for learning. As a young house officer, King was admitted to the hospital with a terrible sore throat. Moore stopped by, shone a flashlight down his throat and couldn’t resist another lesson. Excusing himself, “he went into the bathroom, literally tore the mirror off the wall, and put it down in front of me so I could see it too,” King recalled.

Day in and day out, he taught by example. Once Moore came to the hospital in the middle of the night to tell a terrified medical student that he did not, after all, have a fatal form of leukemia. Another time Loeb and a lab mate were eager to test whether a blood transfusion from a patient with low platelets would reduce the recipient’s count, too. Moore insisted upon being the subject —and wound up seriously ill for a day, though the research was a success.

One morning, Moore visited City Hospital, where a difficult case was being presented by a house officer who confessed he did not know what was wrong with the patient, though she had a blood disease. During his talk, Moore’s mind wandered, and by the time the young man finished, Moore realized with a start that he had heard little. Now it was his turn to speak, so he gently approached the patient, asking her questions no one had thought to ask before over the many years she had been ill. Eagerly she described previous bouts, then Moore turned to the crowd and announced quietly, “She has pernicious anemia.”

Perhaps Moore did not have the star quality of his predecessor in internal medicine, W. Barry Wood Jr., another superlative teacher. “Barry Wood dazzled people, he was so good at everything he did,” says King. “Carl Moore didn’t dazzle people—he just made you realize he was a good doctor.”

Reprinted from Outlook, summer 2003